| NPI | 1548246556 |
|---|---|
| Former Legal Business Name | TRI-STATE SURGICAL ASSOC LLC |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LOWE Owner 410-398-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2014-12-16 |