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 |