| 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 |