| NPI | 1851318943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L PAESCH Director 410-787-4879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RI0200X Internal Medicine Infectious Disease | |
| 208600000X Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207T00000X Neurological Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2012-06-20 |