| NPI | 1457667107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNINA W GRADY Practice Manager 410-366-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0026748) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |