| NPI | 1013168566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE GRETZ Physician 410-761-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2011-01-21 |