| NPI | 1376793364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J SMOOTZ Practice Manager 410-414-4846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 15757) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2009-07-23 |