| NPI | 1447378328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE D BURNEY Office Manager 410-602-8637 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MD a1419) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2009-11-23 |