| NPI | 1740358365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY RIEGEL Administrator 410-590-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1246) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |