| NPI | 1447560834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ANTHONY DE SANTIS President 410-838-5208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D40938) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |