| NPI | 1194172759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A HARTJEN President 410-274-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D33378) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-08-25 |