| NPI | 1407239445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SHAPIRO VP/Area Controller 410-832-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-08-25 |