NPI | 1710703327 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGIE OLLER BURR Director Of Professional Fees 410-706-5181 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Additional Taxonomies | 170300000X Genetic Counselor, MS |
208000000X Pediatrics | |
Enumeration Date | 2024-11-27 |
Last Update Date | 2024-12-03 |