NPI | 1922335165 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL DAVID MESHULAM Owner 410-659-7041 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D38675) |
Enumeration Date | 2009-11-09 |
Last Update Date | 2009-11-09 |