NPI | 1619605672 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY P FOTI Vice President And Secretary 443-738-0225 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2022-08-09 |
Last Update Date | 2024-10-31 |