NPI | 1770096117 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON WOROBEY President / Provider 443-223-2479 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R203622) |
Enumeration Date | 2017-11-07 |
Last Update Date | 2017-11-07 |