| NPI | 1295946820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL O'NEIL Medical Director 410-391-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MD A1165) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-04-25 |