| NPI | 1750386728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH MICAH GOLDBERG Chief Executive Officer 301-424-8644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1223) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-08-22 |