| NPI | 1861361644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SLOAN TRAMMELL Insurance Credentialing Manager 410-912-6989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2025-10-31 |
| Last Update Date | 2025-10-31 |