| NPI | 1558672006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN SMITH Physician 410-334-3805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD H0048286) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-07-13 |