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Organization
HARFORD COUNTY AMBULATORY SURGERY CENTER
Active
Organization
HARFORD COUNTY AMBULATORY SURGERY CENTER
Active
Other names
Advanced Medical Management,LLC, Advanced Medical Management
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MERRILL RN BSN (NURSE ADMINISTRATOR)
(410) 538-7000
Entity
Organization
Contact information
Practice address
1952A PULASKI HWY, EDGEWOOD, MD 21040-1617
(410) 538-7000
(410) 679-7825
Mailing address
9601 PULASKI PARK DR STE 417, MIDDLE RIVER, MD 21220-1409
(410) 933-5678
(410) 933-1823
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650102800
—
MD
01
—
MV3
CAREFIRST
MD
Enumeration date
06/10/2006
Last updated
05/21/2021
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