| NPI | 1205897691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A MATTHEWS Billing Manager 410-526-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1335) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2008-02-11 |