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Organization
SHADY GROVE REPRODUCTIVE SCIENCE CENTER PC
Active
Organization
SHADY GROVE REPRODUCTIVE SCIENCE CENTER PC
Active
Parent organization
SHADY GROVE FERTILITY RSC
Other names
SGFC Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHADY GROVE FERTILITY RSC
Authorized official
SHELLY SHAPIRO (CHIEF FINANCIAL OFFICER)
(301) 545-1407
Entity
Organization
Contact information
Practice address
9601 BLACKWELL RD STE 500, ROCKVILLE, MD 20850-6478
(301) 340-1188
(301) 340-1612
Mailing address
9600 BLACKWELL RD STE 500, ROCKVILLE, MD 20850-3783
(301) 340-1188
(301) 340-1612
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1155
MD
Other
Enumeration date
10/23/2006
Last updated
02/15/2018
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