| NPI | 1073762068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILAL S HASSAN Office Manager 410-848-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD D18833) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |