| NPI | 1770997181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SADOWSKI NAGANNA Administrator 443-289-8286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0059552) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-25 |