Maryland Urology Surgicenters, LLC
Clinic/Center, Ambulatory Surgical in Glen Burnie, MD. Organization (NPI-2).
NPI number1245263136
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1245263136
- Entity type
- Organization (NPI-2)
- Legal business name
- Maryland Urology Surgicenters, LLC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | A1341 | MD | Yes |
Practice location
7704 Quarterfield RdSuite C
Glen Burnie, MD 21061-4412
Phone 410-760-9400
Mailing address
Po Box 631189Baltimore, MD 21263-1189
Phone 410-760-9403
Authorized official
Thomas Smyth
President
4108256310
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