| NPI | 1255456299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JAY GOLDMAN Physician/Owner 443-394-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D30288) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D76229) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2010-08-12 |