| NPI | 1851779730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH G. RICHARD Physician, Director, President 410-847-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0062684) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |