| NPI | 1295127660 |
|---|---|
| Doing Business As | WELL ADVANTAGE |
| Entity Type | Organization |
| Authorized Contact | BONNIE MONROE Vice President Of Operations 410-795-7579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0040085) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |