| NPI | 1255347019 |
|---|---|
| Former Legal Business Name | KEITH D FALCAO MD PA |
| Entity Type | Organization |
| Authorized Contact | SUE C CORBIN Patient Accounting Manager 443-546-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2010-06-16 |