| NPI | 1386010965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A CORNMAN Credentialing Manager 443-944-3351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2023-01-10 |