NPI | 1306570940 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA GABBAI Credentialing Manager 443-231-1331 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2022-07-11 |
Last Update Date | 2023-01-24 |