| NPI | 1245579762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SHAPIRO Vice President 410-832-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: ID C196800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID C196800) |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID C196800) | |
| 363A00000X Physician Assistant (Licence: ID C196800) | |
| 363L00000X Nurse Practitioner (Licence: ID C196800) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ID C196800) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: ID C196800) | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2019-08-05 |