| NPI | 1508939901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KACIE MARISSA DUNN Practice Manager 410-997-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0035784) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0046242) | |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0018905) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2012-07-09 |