| NPI | 1801103072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RICHARD BACON Allergist 410-321-0284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: MD D0028727) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |