| NPI | 1659377166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC L DIAMOND Owner 410-363-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MD A1397) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2013-03-13 |