| NPI | 1396897351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET MASTROUNNI Administrator 410-646-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1408) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2013-01-07 |