| NPI | 1861227019 |
|---|---|
| Other Name | JHU - 103 BATA BLVD |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GIARRATANO Director, Provider Enrollment 410-933-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-09-06 |