| NPI | 1194944926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STEVEN COHEN Owner 301-345-4087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1096) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2012-05-22 |