| NPI | 1386674091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A BARTKOVICH Medical Director 410-548-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1030) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-10-15 |