| NPI | 1366243172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LAUGHLIN Director Of Operations 443-370-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 202K00000X Phlebology |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-19 |