| NPI | 1356384713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DOUGLAS BUTLER Director Of Medicine 410-848-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 495624002) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2010-06-10 |