| NPI | 1790866168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR FAHMI SHUREIH Owner 410-243-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD D21848) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |