| NPI | 1972711612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE NAGLIERI Admin 443-643-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MD A1284) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-03-07 |