| NPI | 1710032842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY NORWOOD Credentialing 301-695-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD 21C0001422) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-12-14 |