| NPI | 1114035292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOPE DIEFFENBACH Practice Manager 410-287-3727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD d0023322) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2007-07-23 |