| NPI | 1437662772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY P FOTI President, Vice President, Treasure 443-738-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2024-05-16 |