| NPI | 1295541894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE OLLER BURR Director Of Professional Fees 410-706-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 170300000X Genetic Counselor, MS |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2025-01-24 |