NPI | 1073315982 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA CARDELLA Physician 443-306-8940 |
Organization Subpart ? | No |
Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2025-03-24 |
Last Update Date | 2025-03-24 |