| NPI | 1871504803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALAN GRUEN Medical Director 410-654-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD D0025907) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |