| NPI | 1255390670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ROBINSON Clinical Director 410-871-3438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD a1394) |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: MD a1394) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2016-04-20 |