# HOTCHKISS SURGICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518090406
- **Authorized official:** DR. LARRY STEPHAN HOTCHKISS D.P.M. (OWNER)
- **Authorized official phone:** (301) 843-9581

## Contact information

- **Practice address:** 12070 OLD LINE CTR, SUITE 110, WALDORF, MD 20602-2513
- **Practice address phone:** (301) 843-9581
- **Mailing address:** 12070 OLD LINE CTR, SUITE 110, WALDORF, MD 20602-2513
- **Mailing address phone:** (301) 843-9581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A1420 | MD | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 12/12/2012