| NPI | 1710330352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI GAREHGRAT Owner 443-631-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |