| NPI | 1639189863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN DEIBEL Executive Vice President & CFO 410-659-2905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207V00000X Obstetrics & Gynecology | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 2086X0206X Surgery, Surgical Oncology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-12-18 |