NPI | 1396228995 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT J PERROTTA Owner/President 410-546-0464 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
Enumeration Date | 2018-09-10 |
Last Update Date | 2021-08-02 |