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Organization
WVS FREDERICK ASC LLC
Active
Organization
WVS FREDERICK ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUBASHAR CHOUDRY MD (OWNER)
(301) 900-0025
Entity
Organization
Contact information
Practice address
75 THOMAS JOHNSON DR STE I, FREDERICK, MD 21702-4895
(301) 900-0025
(301) 891-1704
Mailing address
15245 SHADY GROVE RD STE 325, ROCKVILLE, MD 20850-6280
(301) 891-2500
(301) 448-1679
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W20013348
AOC
MD
Enumeration date
03/08/2022
Last updated
03/08/2022
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