| 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 |