| NPI | 1881418788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAPTISTE STEVEN MARINO Owner 980-262-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 174400000X Specialist |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-19 |