| NPI | 1427363795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN E MONDELL Director 410-321-4558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MD D0032496) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-10-01 |