| NPI | 1114189453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUTOYIN A OKUNOREN Practice Coordinator 410-655-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0023724) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |