| NPI | 1770204638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVIN GOEL CEO 410-688-3082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2023-01-02 |