| NPI | 1104819259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SHAPIRO VP, Controller 410-832-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 75866) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2019-08-05 |