| NPI | 1962289090 |
|---|---|
| Doing Business As | CLOSEKNIT - MEDADV |
| Entity Type | Organization |
| Authorized Contact | MARY JANE FAVAZZA CEO 410-528-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-08-08 |