| NPI | 1609097112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDIWE F GREENWOOD Owner Physician 410-772-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0060109) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-05-13 |