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Organization
BALTIMORE WASHINGTON SURGERY CENTER, L.L.C.
Active
Organization
BALTIMORE WASHINGTON SURGERY CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMENICK COLETTI M.D., D.D.S. (DIRECTOR)
(410) 997-1010
Entity
Organization
Contact information
Practice address
10710 CHARTER DR, SUITE 340, COLUMBIA, MD 21044-2858
(410) 997-1010
(410) 997-0807
Mailing address
10710 CHARTER DR, SUITE 340, COLUMBIA, MD 21044-2858
(410) 997-1010
(410) 997-0807
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1497
MD
Other
Enumeration date
07/01/2009
Last updated
05/08/2013
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