| NPI | 1518634732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GILBERT Managing Member 410-772-6696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QE0800X |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-10-18 |