| NPI | 1245694520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E STAUCH President 410-820-8226 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 208100000X Physical Medicine & Rehabilitation | |
| 174400000X Specialist | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-07-01 |