NPI | 1447598602 |
---|---|
Doing Business As | VILLAGE SQ. FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | MELISSA D ARZADON Sole Proprietor/Provider 443-523-0601 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0059847) |
Enumeration Date | 2013-01-23 |
Last Update Date | 2013-01-23 |