| NPI | 1396487849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONDA L KEATING Associate Director A/R Operations 410-933-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-04-13 |