| NPI | 1073496063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN MELSON Owner/President 410-936-5500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |