NPI | 1730532300 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN SHIKANI Physician 410-554-4455 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD 01388) |
Enumeration Date | 2016-07-19 |
Last Update Date | 2016-07-19 |