| NPI | 1912186644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BECKER President 410-486-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MD H31615) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2008-01-15 |