| NPI | 1700069713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ANTHONY BUSACK Managing Member 301-668-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD H31629) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2014-06-23 |