| NPI | 1982226023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE FOSTER Owner 410-663-4036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |