| NPI | 1902626765 |
|---|---|
| Doing Business As | JHCP - 4102 WILSON BLVD |
| Entity Type | Organization |
| Authorized Contact | STEVEN KRAVET Authorized Official 410-735-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-12-03 |