| 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 |