| NPI | 1033635206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER RUBINSTEIN Business Office Manager 410-252-5671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2018-02-14 |