| NPI | 1780039818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON ELFENBEIN Medical Director 410-507-9698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: MD D0060177) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2021-11-18 |