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Organization
ASC RENEW MARYLAND SCIENCE AND TECH CENTER
Active
Organization
ASC RENEW MARYLAND SCIENCE AND TECH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R. BENJAMIN M.D. (MEDICAL DIRECTOR)
(301) 262-8896
Entity
Organization
Contact information
Practice address
4861 TELSA DR, SUITE A, BOWIE, MD 20715-4318
(301) 262-8896
Mailing address
16701 MELFORD BLVD, SUITE 110, BOWIE, MD 20715-4305
(301) 262-8896
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2008
Last updated
07/07/2008
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