| NPI | 1144606971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE COHEN Business Manager 410-825-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD w000473) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MD 01561) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |