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 |