| NPI | 1861575219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE TODD FOX President 301-589-7663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1401) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2020-08-22 |