| NPI | 1528386497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULES A FELEDY Director 301-654-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1513) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2011-09-26 |