| NPI | 1588747141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MARGOLIS Director 410-687-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1128) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |