| NPI | 1407893092 |
|---|---|
| Other Name | A DIVISION OF MID-ATLANTIC HEALTH ALLIANCE,INC. |
| Entity Type | Organization |
| Authorized Contact | GREG KAUFFMAN President 540-374-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |