| NPI | 1902147739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK JOHN FALCO Medical Director 443-303-8987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2018-08-01 |