Organization
BOWIE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWASI DEBRA MD (AUTHORIZED OFFICIAL)
(703) 867-1551
Entity
Organization
Contact information
Practice address
12200 ANNAPOLIS RD STE 123, GLENN DALE, MD 20769-9182
(301) 552-4300
Mailing address
12200 ANNAPOLIS RD STE 123, GLENN DALE, MD 20769-9182
(301) 552-4300
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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