| NPI | 1407295967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE L PERRY Practice Manager 410-897-9841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0055658) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2023-03-07 |