| NPI | 1790119998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS PATRICK GROSSO Authorized Official 410-644-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2013-08-25 |
| Last Update Date | 2025-01-20 |