| NPI | 1356612808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDISIA FRANCIS Medical Director 443-538-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D61661) |
| Enumeration Date | 2012-01-14 |
| Last Update Date | 2012-04-11 |