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Organization
ELLICOTT CITY AMBULATORY SURGERY CENTER, LLLP
Active
Organization
ELLICOTT CITY AMBULATORY SURGERY CENTER, LLLP
Active
Other names
Ellicott City Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN G HARTLEY RN (ADMINISTRATOR)
(410) 461-1600
Entity
Organization
Contact information
Practice address
2850 NORTH RIDGE ROAD, ELLICOTT CITY, MD 21043
(410) 461-1600
(410) 750-7615
Mailing address
2850 NORTH RIDGE ROAD, ELLICOTT CITY, MD 21043
(410) 461-1600
(410) 750-7615
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1003R
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410706300
—
MD
Enumeration date
09/20/2006
Last updated
06/11/2010
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