| NPI | 1396536140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL STEPHEN NICHOLSON Senior Vice President 410-337-1602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-05-13 |