| NPI | 1871353508 |
|---|---|
| Other Name | ENTAA PHYSICIAN - MT. AIRY |
| Entity Type | Organization |
| Authorized Contact | KRISTI MARTUCCI Jhrp Billing Administrator 410-760-8840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |