| NPI | 1659745727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA THOMPSON Manager 443-550-9139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2016-08-23 |