| NPI | 1508362609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIA BROOKS Practice Manager 443-467-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D68376) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-06-25 |