NPI | 1972235737 |
---|---|
Entity Type | Organization |
Authorized Contact | SUMMER T HOLMES MASON Member 443-994-6889 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2022-06-29 |
Last Update Date | 2022-10-07 |