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Organization
COLLEGE PARK SURGERY CENTER, LLC
Active
Organization
COLLEGE PARK SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALPHA T. BANKS M.D. (MEDICAL DIRECTOR)
(301) 699-2292
Entity
Organization
Contact information
Practice address
12200 ANNAPOLIS RD, SUITE 220, GLENN DALE, MD 20769-9182
(301) 699-2292
(301) 699-2293
Mailing address
7309 BALTIMORE AVE, SUITE 220, COLLEGE PARK, MD 20740-3200
(301) 699-2292
(301) 699-2293
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
MD18563
DC
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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