| NPI | 1912905449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZOHRA KHALID Pediatrician 410-383-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD D004637) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2020-08-22 |