| NPI | 1720262934 |
|---|---|
| Other Name | MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LISA SHARKEY Manager, Professional Fee Billing 443-777-7142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |