| NPI | 1588962245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOYIN OPESANMI Physician 410-963-5870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0059876) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2019-05-17 |