| NPI | 1366986739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN C MORRILL Director, Resident Agent 410-529-8334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0034931) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D0034931) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |