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Congressional Women'S Surgery Center, L.L.C.

Clinic/Center, Ambulatory Surgical in Rockville, MD. Organization (NPI-2).

NPI number1306240288
StatusActive
Last updated in NPPESDec 5, 2014

Details

NPI
1306240288
Entity type
Organization (NPI-2)
Legal business name
Congressional Women'S Surgery Center, L.L.C.
Organization subpart
No
Enumeration date
Oct 21, 2014
Last updated
Dec 5, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical–MDYes

Practice location

121 Congressional Ln
Suite 100
Rockville, MD 20852-1542

Phone 301-468-0073 · Fax 301-468-0875

Mailing address

121 Congressional Ln
Suite 100
Rockville, MD 20852-1542

Phone 301-468-0073 · Fax 301-468-0875

Authorized official

Ronald D Jacobs
Director
3014680073

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