| NPI | 1477428647 |
|---|---|
| Other Name | SPPS PRINCE FREDERICK |
| Entity Type | Organization |
| Authorized Contact | JUSTIN DEIBEL Executive Vice President/CFO 410-659-2905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |