| NPI | 1558359661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN H ZIMMERMAN Secretary 410-266-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2013-12-31 |