| NPI | 1164564506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN I PERMAN Director 301-571-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MD A1452) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-10-20 |