NPI | 1124433628 |
---|---|
Doing Business As | CROSSROADS MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JOEL SULDAN Vice President 410-601-5129 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2014-06-24 |
Last Update Date | 2015-04-09 |