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Organization
MAIN STREET AMBULATORY SURGICAL CTR
Active
Organization
MAIN STREET AMBULATORY SURGICAL CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD MICHAEL HORVATH DPM (PRESIDENT)
(301) 953-3800
Entity
Organization
Contact information
Practice address
632 MAIN ST, LAUREL, MD 20707-4070
(301) 953-3800
(301) 604-2657
Mailing address
632 MAIN ST, LAUREL, MD 20707-4070
(301) 953-3800
(301) 604-2657
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1387
MD
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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