| NPI | 1093251209 |
|---|---|
| Other Name | MARYLAND |
| Entity Type | Organization |
| Authorized Contact | MAUREEN CLANCY Senior Vice President 571-982-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2020-03-05 |