| NPI | 1588196349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID R KHAIRGHADAM C RN A 410-652-4598 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD R137569) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |