| NPI | 1124404421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J SWANTON CEO/Geriatric Physiatrist 410-825-2281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D31176) |
| Additional Taxonomies | 173000000X Legal Medicine |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2021-03-25 |