| NPI | 1437237393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LYNN QUARTO Credentialing 410-451-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1144) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-03-17 |