| NPI | 1699280511 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ERIC SHAPIRO Vice President 410-832-7790  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine | 
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine | 
| Enumeration Date | 2017-12-14 | 
| Last Update Date | 2019-08-05 |