| NPI | 1376949263 |
|---|---|
| Doing Business As | MARYLAND CHOICES, LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL GOLDBERG CEO 317-726-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |