| NPI | 1831527308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SHAPIRO Vice President/Area Controller 410-832-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC C201324900271) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC C201324900271) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: NC C201324900271) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC C201324900271) | |
| 363A00000X Physician Assistant (Licence: NC C201324900271) | |
| 363L00000X Nurse Practitioner (Licence: NC C201324900271) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NC C201324900271) | |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2019-08-05 |