| NPI | 1902809858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA M ANDERSON Billing Manager 410-749-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology | |
| 2085N0904X Radiology Nuclear Radiology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2022-07-21 |