| NPI | 1043288087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK R. LICHTENSTEIN Owner 410-268-6910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: MD D0008194) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D08194) |
| 207RR0500X Internal Medicine Rheumatology (Licence: MD D08194) | |
| 207RR0500X Internal Medicine Rheumatology (Licence: MD D0065841) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2008-08-01 |