| NPI | 1629489117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRDAD MICHAEL MASSUMI President/Owner 410-825-5905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D0032831) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |