| NPI | 1891098919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PHILIP DIAMOND President 410-574-5877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D0022200) |
| Enumeration Date | 2010-12-11 |
| Last Update Date | 2010-12-11 |