NPI | 1720493018 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL BEARDSLEY President 410-871-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0054920) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2014-06-25 |