NPI | 1598718256 |
---|---|
Entity Type | Organization |
Authorized Contact | WILMA ROWE Director 410-332-9070 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
207R00000X Internal Medicine | |
207RG0300X Internal Medicine, Geriatric Medicine | |
207RP1001X Internal Medicine, Pulmonary Disease | |
207RR0500X Internal Medicine, Rheumatology | |
208000000X Pediatrics | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-05-17 |
Last Update Date | 2024-05-23 |