| NPI | 1881033496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS PATRICK GROSSO Authorized Official 410-644-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2024-12-09 |