| NPI | 1447371885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KENNETH WINIECKI Physician 410-838-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MD D0053392) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |