| NPI | 1083654479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SETTING Operations Manager 410-279-0317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2016-03-14 |