| NPI | 1962449652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KASHAN Owner 410-764-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1175) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2009-08-04 |