| NPI | 1992845283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA J GOTTLIEB Owner 410-768-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1076) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-09-30 |