| NPI | 1104851088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH D FALCAO President 410-719-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1463) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-12-17 |