| NPI | 1447319603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER J CHAMBERLAIN Owner, Manager 410-825-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1187) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2016-06-17 |