| NPI | 1760142004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA C SCOTT Md 410-571-7998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2022-01-03 |