| NPI | 1457320962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SELBY BLANKEN Owner 301-592-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1309) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2011-05-26 |