| NPI | 1740946458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN W. TUCKER Medical Director 410-337-2622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |