| NPI | 1770719114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA K SMITH Medical Office Manager 410-647-4025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D30741) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2017-02-07 |