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Organization
MEDSTAR SURGERY CENTER AT BRANDYWINE, LLC
Active
Organization
MEDSTAR SURGERY CENTER AT BRANDYWINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENETHA D MORAN (OFFICER / AUTHORIZED OFFICIAL)
(972) 763-3893
Entity
Organization
Contact information
Practice address
13950 BRANDYWINE ROAD, SUITE 100, BRANDYWINE, MD 20613
(972) 763-3893
(972) 692-6745
Mailing address
15305 DALLAS PKWY, SUITE 1600, ADDISON, TX 75001-4637
(972) 763-3893
(972) 692-6745
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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