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Organization
LASER SURGERY CENTER, INC
Active
Organization
LASER SURGERY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS J VANANTWERP D.O., M.P.H (PRESIDENT)
(410) 544-4600
Entity
Organization
Contact information
Practice address
484 RITCHIE HWY STE A, SEVERNA PARK, MD 21146-2961
(410) 544-4600
(410) 544-0997
Mailing address
484 RITCHIE HWY STE A, SEVERNA PARK, MD 21146-2961
(410) 544-4600
(410) 544-0997
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1080
MD
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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