Organization
PRIVATE SURGICAL SUITE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS G ZORC MD (MEMBER)
(301) 656-8008
Entity
Organization
Contact information
Practice address
5530 WISCONSIN AVE, SUITE 1455, CHEVY CHASE, MD 20815-4404
(301) 656-8008
(301) 656-6701
Mailing address
PO BOX 71144, CHEVY CHASE, MD 20813-1144
(301) 656-8008
(301) 656-6701
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1291
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00084595
RAILROAD MEDICARE
MD
01
—
ZX09PR
MD BC NON PAR PROVIDER #
MD
Enumeration date
03/08/2007
Last updated
01/27/2010
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