| NPI | 1831919380 |
|---|---|
| Other Name | JHCP- 6350 STEVENS FOREST STE 102/107 |
| Entity Type | Organization |
| Authorized Contact | STEVEN KRAVET AO 410-735-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2025-11-04 |