| NPI | 1700750478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARDS Medical Director 410-539-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-03 |