NPI | 1184832040 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE GARY CFO 410-912-6059 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207P00000X Emergency Medicine |
207R00000X Internal Medicine | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
207RG0100X Internal Medicine, Gastroenterology | |
207RH0003X Internal Medicine, Hematology & Oncology | |
207RP1001X Internal Medicine, Pulmonary Disease | |
207T00000X Neurological Surgery | |
208000000X Pediatrics | |
208D00000X General Practice | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2023-02-28 |