| NPI | 1083766646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISA LEYTMAN President 410-356-5761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD 193773) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 20011) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |