| NPI | 1881053528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HATTAR Physician 410-224-7615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD d0050321) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |