| NPI | 1740387257 |
|---|---|
| Other Name | GLEN BURNIE ENDOSCOPY, LLC |
| Entity Type | Organization |
| Authorized Contact | ALIF A MANEJWALA Medical Director 410-766-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD A1208) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2011-11-09 |