| NPI | 1790867802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA BRANDILYN SPYIES Doctor Of Clinical Audiology 410-605-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MD 01116) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-07-18 |