| NPI | 1104026574 |
|---|---|
| Doing Business As | TBHC MEDICAL SERVICES PC SURGERY |
| Entity Type | Organization |
| Authorized Contact | JOHN CARROLL Chief Medical Officer 718-250-6676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |