| NPI | 1164493482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ONEIL BURNS Medical Director Co Owner 410-548-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD M36690) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2020-08-22 |