NPI | 1548967128 |
---|---|
Doing Business As | CLOSEKNIT - UC |
Doing Business As | CLOSEKNIT |
Entity Type | Organization |
Authorized Contact | MARY JANE FAVAZZA CEO 410-528-7109 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
Enumeration Date | 2023-02-14 |
Last Update Date | 2024-08-08 |