| NPI | 1174513519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI SHUSTER Physician/Owner 410-730-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD D34215) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2007-12-12 |