| NPI | 1407696586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILMA ROWE Director 410-332-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |