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 |