| NPI | 1043935307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYDNEY TEAL Doctor 443-350-7224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 207KA0200X Allergy & Immunology Allergy | |
| 207Q00000X Family Medicine | |
| 207QG0300X Family Medicine Geriatric Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics | |
| 208D00000X General Practice | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2023-06-21 |