| NPI | 1629175997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS THOMAS AUGUSTUS PRIOLO CFO 443-643-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0062522) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-10-10 |