| NPI | 1215120951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN TURGEON Office Manager 410-549-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0033540) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H0037356) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2010-07-01 |