| NPI | 1457698706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE NEPOMUCENO President 410-802-1206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D16445) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |