| NPI | 1447258603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY C GROCHMAL Medical Director 410-461-0960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1416) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2015-01-06 |