| NPI | 1740516392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PAUL MARVEL Owner 410-353-7266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MD D51388) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |