| NPI | 1861368813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC G DUBIN Authorized Official 410-821-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |