# PREMIER SURGICAL PAVILION OF OXON HILL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Surgical Pavilion
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437531860
- **Authorized official:** YVONNE DEACON (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (631) 760-1546

## Contact information

- **Practice address:** 6178 OXON HILL RD, FIRST FLOOR, OXON HILL, MD 20745-3109
- **Practice address phone:** (301) 292-9220
- **Mailing address:** PO BOX 1970, NEW YORK, NY 10156-1970
- **Mailing address phone:** (631) 760-1546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2015
- **Last updated:** 03/05/2024