NPI | 1871711689 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN BEHRAM Director 301-294-8525 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1430) |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2007-04-24 |
Last Update Date | 2021-06-21 |