| NPI | 1255636874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA D KORNBLUTH Medical Director 443-605-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |