| NPI | 1023199601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SCIRO Practice Administrator 410-266-8049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1235) |
| Additional Taxonomies | 261QL0400X Clinic/Center, Lithotripsy (Licence: MD A1235) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-06-15 |