| NPI | 1497947048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR KLOTEY COLLISON Owner/Physician 410-263-0799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D0026765) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2008-02-05 |