| NPI | 1174695670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH M KLEBANOW President, Managing Partner 410-992-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2022-07-28 |