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Organization
CARROLL FOOTWORKS SURGERY CENTER ,LLC
Active
Organization
CARROLL FOOTWORKS SURGERY CENTER ,LLC
Active
Other names
Glyndon Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNETTE JOYCE D.P.M. (DIRECTOR)
(410) 795-2155
Entity
Organization
Contact information
Practice address
4 GLYNDON DR, SUITE 2 A, REISTERSTOWN, MD 21136-2000
(410) 795-2155
(410) 795-2154
Mailing address
4 GLYNDON DR, SUITE 2 A, REISTERSTOWN, MD 21136-2000
(410) 795-2155
(410) 795-2154
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1428
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070
GHMSI
MD
01
—
1410709
AETNA HMO
MD
01
—
7469894
AETNA PPO
MD
Enumeration date
08/27/2006
Last updated
09/02/2009
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