| NPI | 1023231263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIND B ASHTON Office Manager 410-339-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD H0018792) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0032338) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R118945) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |