| NPI | 1487889531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS J VANANTWERP President 410-544-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1080) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |