| NPI | 1225351430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABA SIDDIQI President 410-687-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD d0041496) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |