| NPI | 1164548996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN CHARLES FLAUM Owner 301-340-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1154) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |