| NPI | 1063692911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENNARD GLENN HERBST President 410-363-0490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0020169) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |