| NPI | 1447254172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MATTES Billing COO Rdinator 410-356-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MD A1045) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2024-12-19 |