| NPI | 1245418607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WATT Office Manager 410-939-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD D57143) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2022-01-26 |