NPI | 1386815322 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE MARIANO Practice Manager 410-601-9258 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MD D000150) |
Enumeration Date | 2008-03-18 |
Last Update Date | 2008-03-18 |