| NPI | 1285617894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BAKER ALLEN President 410-749-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MD D29168) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2020-08-22 |