| NPI | 1962694919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD MICHAEL ZULLO President 410-282-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0011312) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |