| NPI | 1114198835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A CORNMAN Credentialing Manager 443-944-3351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: MD 20235706) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2023-01-10 |