| NPI | 1477700516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANFORD J. SIEGEL President/Chief Executive Officer 443-738-8163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2016-07-28 |