| NPI | 1487879938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BAKER Executive Director 410-879-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-02-03 |