| NPI | 1679769145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIFA O CLARKE Practice Manager 410-638-9765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D36715) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |