| NPI | 1134921919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY REBECCA WRIGHT-SISK Director 443-422-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |