| NPI | 1346614856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILAL HASSAN Practice Manager 410-848-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MD D18833) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |