| NPI | 1891247003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY R WRIGHT-SISK Director 443-422-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2021-08-27 |