| NPI | 1376761619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY THOMPSON-RICHARDS Owner 410-821-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0033215) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |