| NPI | 1265602346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE-ALBERTE BOURSIQUOT Physician 410-964-4508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0051958) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |