| NPI | 1063843589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP JOHN RUZBARSKY Owner 410-848-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD C0000786) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |