| NPI | 1891518064 |
|---|---|
| Doing Business As | CLOSEKNIT |
| Entity Type | Organization |
| Authorized Contact | MARY JANE FAVAZZA CEO 410-528-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |