| NPI | 1902763162 |
|---|---|
| Doing Business As | CLOSEKNIT - PCP2 |
| Entity Type | Organization |
| Authorized Contact | MARY JANE FAVAZZA CEO 410-205-1487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-01-20 |