NPI | 1992789119 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT MICHAEL ANCONA President And CEO 410-981-4001 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD 4017) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2009-07-28 |