| NPI | 1649267170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONDA L KEATING Sr Production Unit Mgr 410-933-6430 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2022-07-21 |