| NPI | 1962693689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA M PEET President 410-663-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0046458) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |