| NPI | 1982000675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE LEE BAKER Owner 410-323-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MD D0058570) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |