NPI | 1609691336 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL STEPHEN NICHOLSON Cpa 410-337-1602 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2024-11-18 |
Last Update Date | 2024-11-18 |