| NPI | 1710932207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA L. Manager 301-668-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MD D0053489) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2009-02-13 |