| NPI | 1174881098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW P MARDINEY President 443-857-9829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MD D0054372) |
| Enumeration Date | 2012-04-28 |
| Last Update Date | 2012-07-31 |