| NPI | 1750562898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDASAMY AMBALAVANAR President 410-766-6447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0051596) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |