Center For Universal Surgery, PC
Clinic/Center, Ambulatory Surgical in Frederick, MD. Organization (NPI-2).
NPI number1710932207
StatusActive
Last updated in NPPESFeb 13, 2009
Details
- NPI
- 1710932207
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Universal Surgery, PC
- Organization subpart
- No
- Enumeration date
- May 23, 2006
- Last updated
- Feb 13, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | D0053489 | MD | Yes |
Practice location
604 Solarex Ct.Suite 205
Frederick, MD 21703-8655
Phone 301-668-0888 · Fax 301-668-0999
Mailing address
6550 Mercantile Dr ESuite 104
Frederick, MD 21703-7655
Phone 301-668-1212
Authorized official
Laura L.
Manager
3016680888
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