| NPI | 1710131024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE LYNN NYE Front Office Manager 410-956-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D58166) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2024-03-18 |