| NPI | 1437189354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DEIBOLDT Director 301-937-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1216) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2009-11-09 |