| NPI | 1801139605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY SMITH Administrator 410-263-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |