| NPI | 1790812808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC L. WEISBROT President 410-637-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0021487) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-12-08 |