| NPI | 1235395138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA STOUT V.P. Finance 410-532-3905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MD 30029) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MD 30029) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |