| NPI | 1780011312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A BARTKOVICH Secretary/Treasurer 410-548-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R180523) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |