| NPI | 1235733445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GIARRATANO Authorize Official 410-933-0000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery |
| Enumeration Date | 2020-11-28 |
| Last Update Date | 2025-03-18 |