| NPI | 1063456549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA RABELLO FREIRE AYRES Internal Mediacl Doctor 410-686-9019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |