| NPI | 1215327259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE J NEUMAN Vice President Finance 443-923-1810 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2020-09-16 |