| NPI | 1508407560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ROSSITER President 410-627-9548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |