| NPI | 1700068160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANNE HOLLYWOOD Physician 410-763-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0046820) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-12-12 |