| NPI | 1104924703 | 
|---|---|
| Doing Business As | NORTHWEST CHF PROGRAM | 
| Entity Type | Organization | 
| Authorized Contact | DAVID MCCORMICK A VP 410-701-4618  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD 03-004)  | 
| Enumeration Date | 2006-09-20 | 
| Last Update Date | 2021-10-20 |