| 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 |