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 |