| NPI | 1538473921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H JONATHAN KRAMER Owner 410-358-7043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MD 1636pt) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |