| NPI | 1598756306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE FOSTER Office Manager 410-583-9675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1415) |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2020-08-22 |