| NPI | 1285220830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZIBEH QURESHI Owner 410-650-4121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2021-09-20 |