| NPI | 1871716860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN HOWARD BOOK Administrator 410-583-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-10-22 |