| NPI | 1194140780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTELLE W JOLLY Practice Manager 410-581-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0061315) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |