NPI | 1275704264 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNE L GRADY Physician/ President 410-820-6871 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0047357) |
Enumeration Date | 2008-03-18 |
Last Update Date | 2013-03-19 |