| NPI | 1649553942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE MACY Credentialing Specialist 410-998-3920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MD D64778) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |