| NPI | 1922041862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE MCKINNON Office Manager 410-620-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0047711) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2021-04-27 |