| NPI | 1902653231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL STEPHEN NICHOLSON Senior Vice President Chief Finan 410-337-1602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |