NPI | 1760566228 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA C NWAOGBO Office Manager 410-760-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2006-10-24 |
Last Update Date | 2014-07-08 |