| NPI | 1144527078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANEESH C SHARMA Medical Director Owner 443-599-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-03-02 |