| NPI | 1477691624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT J BRADFORD Managing Member 410-744-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MD 1460) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |