Organization
GERMANTOWN AMBULATORY SURGICAL CENTER LLC
Active
Organization
GERMANTOWN AMBULATORY SURGICAL CENTER LLC
Active
Other names
SHAHLA FARSAII
Organization subpart
No
Provider details
NPI number
Authorized official
ASGHAR FARSAII (MEDICAL DIRECTOR)
(301) 428-3040
Entity
Organization
Contact information
Practice address
20629 BOLAND FARM RD, GERMANTOWN, MD 20876-4017
(301) 428-3040
Mailing address
20629 BOLAND FARM RD, GERMANTOWN, MD 20876-4017
(301) 428-3040
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4215346000
—
MD
Enumeration date
03/22/2019
Last updated
03/26/2019
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