| NPI | 1679731384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK TONG Proprietor 410-309-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MD D47821) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |