NPI | 1356311419 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN THOMAS Medical Director 410-749-0121 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1077) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2015-03-20 |