NPI | 1366435596 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHAN ROBERT IZZI Medical Doctor 410-766-1444 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 111N00000X Chiropractor |
207R00000X Internal Medicine | |
207RC0000X Internal Medicine, Cardiovascular Disease | |
207RG0100X Internal Medicine, Gastroenterology | |
207RH0003X Internal Medicine, Hematology & Oncology | |
207V00000X Obstetrics & Gynecology | |
207X00000X Orthopaedic Surgery | |
208000000X Pediatrics | |
208D00000X General Practice | |
213E00000X Podiatrist | |
Enumeration Date | 2005-08-23 |
Last Update Date | 2023-11-20 |