| NPI | 1023424363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KOROTKA Pa C 240-994-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: DC PA031061) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-10 |