| NPI | 1851685440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE BREWSTER Credentialing Manager 410-933-3017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| 207UN0901X Nuclear Medicine Nuclear Cardiology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-23 |