| NPI | 1447377833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY YEATMAN Secretary 410-544-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0065208) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-12-04 |