# GYNEMED SURGICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295946820
- **Authorized official:** DR. DAVID MICHAEL O'NEIL M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (410) 391-1000

## Contact information

- **Practice address:** 17 FONTANA LN, SUITE 201, BALTIMORE, MD 21237-3042
- **Practice address phone:** (410) 391-1000
- **Practice address fax:** (410) 391-0943
- **Mailing address:** 17 FONTANA LN, SUITE 201, BALTIMORE, MD 21237-3042
- **Mailing address phone:** (410) 391-1000
- **Mailing address fax:** (410) 391-0943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | A1165 | MD | Yes |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 04/25/2008