| NPI | 1871775072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEWIS Business Manager 410-546-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MD D0050929) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2008-03-17 |