| NPI | 1093729493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY S MULVEY Office Manager 410-996-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0045155) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-08-30 |