| NPI | 1538307848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN REINKE Practice Administrator 410-386-9095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-04-15 |