| NPI | 1962741256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROCK ALBERT PINELLI Business Manager 443-243-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MD 23732) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 01410) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |