| NPI | 1215189725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA VAN BLARGAN Office Manager 410-832-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0005004) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-12-03 |