NPI | 1992134738 |
---|---|
Other Name | D/B/A EVERGREEN HEALTH CARE |
Entity Type | Organization |
Authorized Contact | PETER L. BEILENSON Chair Of The Board 443-475-0990 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2013-11-02 |
Last Update Date | 2013-11-02 |