| NPI | 1801215041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SHAPIRO Vice President 410-832-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QG0300X Family Medicine Geriatric Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2019-08-05 |