| NPI | 1700890670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M. WALKER Business Manager 410-653-7201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QL0400X Clinic/Center, Lithotripsy (Licence: MD M185D) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |