| NPI | 1972558971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BROWN Office Manager 410-546-8037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2017-12-11 |