| NPI | 1659917961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI COHEN COO 410-296-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 261QS0132X Clinic/Center Ophthalmologic Surgery | |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |