| NPI | 1891741112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN DEIBEL Executive Vice President & CFO 410-659-2905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MD D0008372) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MD D0008372) |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-12-18 |