| NPI | 1730571118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC R WAGNER Executive Vice President 410-772-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1234) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2024-05-14 |