| NPI | 1902635998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTLE D BROWN Billing Manager 410-870-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |