| NPI | 1508188335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE I TINNEY Physician 410-803-0578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D53186) |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2010-02-21 |