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Organization
SUMMIT AMBULATORY SURGICAL CENTER, LLC
Active
Organization
SUMMIT AMBULATORY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANFORD J. SIEGEL M.D. (PRESIDENT)
(410) 581-1600
Entity
Organization
Contact information
Practice address
5601 LOCH RAVEN BLVD, SUITE 307, BALTIMORE, MD 21239-2905
(410) 433-7303
(410) 433-7755
Mailing address
25 CROSSROADS DR, SUITE 306, OWINGS MILLS, MD 21117-5421
(443) 738-2872
(443) 738-2713
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800906607
—
MD
Enumeration date
10/03/2007
Last updated
07/28/2016
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