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Organization
PREMIER SURGICAL PAVILION OF OXON HILL
Active
Organization
PREMIER SURGICAL PAVILION OF OXON HILL
Active
Other names
Premier Surgical Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE DEACON (DIRECTOR OF REVENUE CYCLE)
(631) 760-1546
Entity
Organization
Contact information
Practice address
6178 OXON HILL RD, FIRST FLOOR, OXON HILL, MD 20745-3109
(301) 292-9220
Mailing address
PO BOX 1970, NEW YORK, NY 10156-1970
(631) 760-1546
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2015
Last updated
03/05/2024
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