| NPI | 1497760276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL SIEGEL Chief Medical Director 410-328-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 103T00000X Psychologist | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2011-11-28 |