| NPI | 1619796117 |
|---|---|
| Doing Business As | JHCP-15005 SHADY GROVE SUITE 340 |
| Entity Type | Organization |
| Authorized Contact | STEVEN KRAVET AO 410-735-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-12-10 |