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 |