| NPI | 1245277870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A EDWARDS Sr, VP 410-951-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2025-09-11 |