| NPI | 1467779488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAUSTO QUIAMBAO AQUINO President 410-665-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D014697) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-04-30 |