NPI | 1952333882 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA MARSHA BOSMA Executive Director 443-837-2011 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1065) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2012-11-27 |