| NPI | 1740354182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAGE SMITH Practice Manager 410-573-9805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-11-18 |
| Last Update Date | 2022-06-20 |