| NPI | 1982364469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT WELIK CEO 443-383-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2024-03-29 |