| NPI | 1568680213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE SEDRAKYAN Medical Director 410-290-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2017-03-08 |