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 | 2025-07-21 |