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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
JONATHAN BAILEY (OFFICER/AUTHORIZED OFFICIAL)
(203) 609-1168
Entity
Organization
Contact information
Practice address
7704 MATAPEAKE BUSINESS DR, SUITE 300, BRANDYWINE, MD 20613-3023
(301) 645-8838
Mailing address
14201 DALLAS PKWY STE 306, DALLAS, TX 75254-2916
(469) 872-4706
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
MDSBW
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800906619
—
MD
Enumeration date
01/20/2014
Last updated
01/16/2025
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