| NPI | 1366205023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS PATRICK GROSSO Principle Physician 410-644-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |