NPI | 1497188478 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMANTHA MIHM Credentialing Specialist 410-744-0661 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2013-08-14 |
Last Update Date | 2025-08-27 |