| NPI | 1336311042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEMERE TECLAY Physician Assistant 410-328-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: MD PA63866) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |