| 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 |