| NPI | 1275491417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTLE D BROWN Billing Manager 410-800-6251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2026-01-15 |
| Last Update Date | 2026-01-15 |