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 |