| NPI | 1952337107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KAVANAUGH DYER Director 410-822-7931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1431) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |