| NPI | 1437978152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIYAHU WIENER Owner 410-499-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-14 |