| NPI | 1689197238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE A BEACH Podiatrist 410-945-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 01256) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2023-06-05 |