| NPI | 1972766053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE MERONICA TURNER Office Manager 410-747-1324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D30494) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2025-07-01 |