| NPI | 1760276349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE OLLER BURR Director Of Professional Fees 410-706-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |