| NPI | 1093342438 |
|---|---|
| Doing Business As | ADVANCED INTERNAL MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARISSA ROSANIO Reimbursement Administrator 443-481-5618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2021-05-24 |