NPI | 1851562698 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN JERRY SHUMAN Doctor 410-761-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MD D0008334) |
Enumeration Date | 2008-03-20 |
Last Update Date | 2011-12-29 |