| NPI | 1003447574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BAKER Executive Director 410-879-1212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2022-03-02 |