| NPI | 1730054065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN DEIBEL Executive Vice President/CFO 410-659-2905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 207V00000X Obstetrics & Gynecology | |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology | |
| 363A00000X Physician Assistant | |
| 363AS0400X Physician Assistant Surgical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |