NPI | 1962788323 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHY X. GAO President 410-884-9293 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MD D0057718) |
Enumeration Date | 2011-10-31 |
Last Update Date | 2013-01-08 |