| NPI | 1811041528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES SALAZAR President 410-530-0454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D0051051) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |