| NPI | 1790920288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE TREGOE Director Of Business Operations 410-543-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-12 |