| NPI | 1518354133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN J COHEN Executive Director 443-524-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |