| NPI | 1316155377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESA MARIE BEREZNAY Practice Administrator 410-744-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D29769) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2010-08-06 |