Organization
BURTONSVILLE SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN SAMUEL KRESSIN DPM (PRESIDENT)
(301) 384-2629
Entity
Organization
Contact information
Practice address
15300 SPENCERVILLE CT STE 101, BURTONSVILLE, MD 20866-1639
(301) 384-2629
(301) 421-4286
Mailing address
15300 SPENCERVILLE CT STE 101, BURTONSVILLE, MD 20866-1639
(301) 384-2629
(301) 421-4286
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1148
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1148
STATE LICENSE
MD
Enumeration date
03/24/2007
Last updated
08/22/2020
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