| NPI | 1033290499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH LEE GALUARDI Administrator 410-641-9886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD Pending) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-10-28 |