| NPI | 1609180926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SHAPIRO VP, Area Controller 410-832-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2019-08-05 |