| NPI | 1164697009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITU T BHAMBHANI Medical Director 443-857-1416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2020-08-14 |