NPI | 1568095784 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCY VAN VOORHEES Owner/Provider 410-213-4751 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Enumeration Date | 2020-02-17 |
Last Update Date | 2020-02-21 |