| NPI | 1104243039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL G. CARUTHERS Owner 240-675-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA07863200) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-04-21 |