| NPI | 1710725213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY R WRIGHT-SISK Director 443-623-8926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |