| NPI | 1477576304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SHAPIRO VP, Controller 410-832-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101-0025776) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VT 101-0019819) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-08-05 |