NPI | 1548094881 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGIE OLLER BURR Director Of Professional Fees 410-706-5181 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2024-08-29 |
Last Update Date | 2024-08-29 |