| NPI | 1629509799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN MICHELLE GONDECK Medical Administrator 410-730-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: MD d76443) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |