NPI | 1164652160 |
---|---|
Entity Type | Organization |
Authorized Contact | GEDION ATNAFU Medical Director 410-650-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0062148) |
Enumeration Date | 2009-07-23 |
Last Update Date | 2009-07-23 |