| NPI | 1184438053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE OLLER BURR Director Of Professional Fees 410-706-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology |
| Additional Taxonomies | 208000000X Pediatrics |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |