| NPI | 1366678401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA LUBMAN Owner 443-901-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D0064406) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |