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Organization
SGFC SURGERY CENTER, LLC
Active
Organization
SGFC SURGERY CENTER, LLC
Active
Parent organization
SHADY GROVE FERTILITY RSC
Other names
SGFC Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHADY GROVE FERTILITY RSC
Authorized official
KRISTIN RAKER (SVP FINANCE AND ACCOUNTING)
(301) 545-1370
Entity
Organization
Contact information
Practice address
901 DULANEY VALLEY ROAD, SUITE 100, TOWSON, MD 21204-0622
(410) 512-8300
(855) 334-8171
Mailing address
9600 BLACKWELL ROAD, SUITE 500, ROCKVILLE, MD 20850-3783
(301) 340-1188
(301) 340-1612
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
MD
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2013
Last updated
02/04/2020
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