| 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 |