NPI | 1841336302 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN BROWN Physician/Owner 410-768-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2007-01-30 |
Last Update Date | 2014-04-21 |