| NPI | 1306910310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PAUL FARNWORTH Co Owner 301-924-5044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1189) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD 261QA1903X) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |