| NPI | 1215635610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CATHERINE MCCARTHY Billing Specialist 443-595-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2026-03-25 |