Provider First Line Business Practice Location Address:
INTERNAL MEDICINE CLINIC N.N.M.C.
Provider Second Line Business Practice Location Address:
BLDG 19, 8901 WISCONSIN AVE
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20889-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-319-8750
Provider Business Practice Location Address Fax Number:
301-319-4712
Provider Enumeration Date:
08/09/2005