| NPI | 1386885556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN HEIZER Office Manager 301-262-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: PENDING) |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2021-05-07 |