| NPI | 1316240047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA DAMIEN Physician 410-719-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D24766) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2011-06-05 |