| NPI | 1912738600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH EMREY Director Of Provider Operations 443-350-1466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-11-07 |