| NPI | 1487654398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH DELORES PEARSON Office Manager 410-605-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2011-12-15 |