| NPI | 1346581105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENT S BANDA Medical Director 443-283-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1546) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2019-02-16 |