| NPI | 1447439088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN G. PROSHAN Owner 410-573-1699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MD D56357) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2015-02-23 |