| NPI | 1831310820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA DODSON Credentialing Manager 443-398-0189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2025-05-21 |