| NPI | 1407967706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS SAMUEL COHEN President 410-761-4190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1167) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-06-01 |