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 |