NPI | 1548024656 |
---|---|
Other Name | BRADFORD OAKS SMG LLC |
Entity Type | Organization |
Authorized Contact | KRYSTLE BROWN Billing Manager 410-870-9380 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
Enumeration Date | 2024-02-08 |
Last Update Date | 2024-02-08 |