| NPI | 1326766221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARI RICHARD Biller 571-349-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2023-06-08 |