| NPI | 1821702432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WELIK CEO 443-383-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-03-29 |