| NPI | 1851873970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY R WRIGHT-SISK Director 443-422-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MD D60351) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2021-08-27 |