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Organization
AMBULATORY SURGERY CENTER OF BETHESDA, LLC
Active
Organization
AMBULATORY SURGERY CENTER OF BETHESDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS FORMAN M.D. (MEDICAL DIRECTOR)
(301) 984-8600
Entity
Organization
Contact information
Practice address
11210 OLD GEORGETOWN RD, NORTH BETHESDA, MD 20852-3202
(301) 984-8600
(301) 984-8601
Mailing address
11210 OLD GEORGETOWN RD, NORTH BETHESDA, MD 20852-3202
(301) 984-8600
(301) 984-8601
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1371
MD
Other
Enumeration date
09/27/2006
Last updated
05/04/2026
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