| NPI | 1649600222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA FLEET Office Manager 410-383-2072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D0064559) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2014-10-08 |