| NPI | 1912993700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA F CONLEY Business Office Manager 301-396-8492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1407) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2009-11-18 |