| NPI | 1619514049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPAK SETH Owner 410-284-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RA0401X Internal Medicine Addiction Medicine | |
| 207RB0002X Internal Medicine Obesity Medicine | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2022-04-02 |