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Organization
ENDOSCOPIC SURGICAL CENTRE OF MARYLAND LLC
Active
Organization
ENDOSCOPIC SURGICAL CENTRE OF MARYLAND LLC
Active
Other names
Endoscopic Surgical Centre of Maryland
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER A HOLDEN (CHIEF MANAGER OF LLC)
(615) 665-1283
Entity
Organization
Contact information
Practice address
10801 LOCKWOOD DR, SUITE 110, SILVER SPRING, MD 20901-1556
(301) 593-5110
(301) 593-6269
Mailing address
10801 LOCKWOOD DR, SUITE 110, SILVER SPRING, MD 20901-1556
(301) 593-5110
(301) 593-6269
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1226
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054141
KAISER PROVIDER NUMBER
—
01
—
247638
MAMSI PROVIDER NUMBER
—
01
—
483056
NCPPO
—
01
—
60699901
BC/BS OF MARYLAND
MD
01
—
6800172
UNITEDHEALTHCARE NUMBER
—
01
—
PJ9
BC/BS NATIONALCAPITALAREA
—
Enumeration date
10/02/2006
Last updated
04/20/2008
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