| NPI | 1891157673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO ROSE-LIBERTO SILAH Professional Fees Administrator 410-448-7383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-04-18 |