NPI | 1396536181 |
---|---|
Entity Type | Organization |
Authorized Contact | BASIA ELIZABETH KOSER Clinical Director 410-991-7617 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2025-05-13 |
Last Update Date | 2025-07-10 |