| NPI | 1205543295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA M ACOSTA Owner/President 410-967-1723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |