| NPI | 1962259408 |
|---|---|
| Other Name | M. MEDICAL GROUP BW ANNAPOLIS ALF |
| Entity Type | Organization |
| Authorized Contact | KRYSTLE D BROWN Billing Manager 410-870-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-05-02 |