| NPI | 1780027995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM1 R. HERZOG Director 443-546-1400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R079910) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-04-08 |