| NPI | 1316587058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA D BAKER Executive Director 410-838-0179 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-02-03 |