Organization
RIVER ROAD SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY LIGHTY (ADMINISTRATOR)
(301) 652-7130
Entity
Organization
Contact information
Practice address
5110 RIDGEFIELD ROAD, SUITE 106, BETHESDA, MD 20816
(301) 652-7130
(301) 652-3170
Mailing address
5110 RIDGEFIELD ROAD, SUITE 106, BETHESDA, MD 20816
(301) 652-7130
(301) 652-3170
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1337
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300902500
—
MD
Enumeration date
01/16/2007
Last updated
08/20/2008
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