| NPI | 1548017635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS THOMAS AUGUSTUS PRIOLO AO 443-643-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |