| NPI | 1972740777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SPICER Practice Administrator 301-599-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD 100036199474483) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |