| NPI | 1720879562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA PAESCH Delegated Official 410-787-4879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-05-13 |