| NPI | 1912120916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WUNDERER Practice Administrator 410-569-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0045592) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |