| NPI | 1740074376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS PATRICK GROSSO Principle Physician 410-644-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |