| NPI | 1467735456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD HENRY Executive Director 410-398-4679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 208800000X Urology | |
| 207L00000X Anesthesiology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207Y00000X Otolaryngology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2012-12-05 |