| NPI | 1326629619 |
|---|---|
| Other Name | GRACE MAMMOGRAPHY SERVICES |
| Entity Type | Organization |
| Authorized Contact | REBECCA ALTMAN Vice President 443-924-1856 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2021-04-19 |