| NPI | 1902252067 |
|---|---|
| Doing Business As | DISPA |
| Entity Type | Organization |
| Authorized Contact | PATRICIA MCCOY Physician Partner/Manager 410-328-7324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |