Organization
MARYLAND SURGEONS CENTER OF COLUMBIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH D FALCAO M.D. (PRESIDENT)
(410) 719-0090
Entity
Organization
Contact information
Practice address
11055 LITTLE PATUXENT PKY, SUITE L-6, COLUMBIA, MD 21044
(410) 730-9775
(410) 730-9777
Mailing address
P.O. BOX 156, LIBERTYTOWN, MD 21762
(301) 898-0046
(301) 898-0049
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1463
MD
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414614000
—
MD
Enumeration date
07/11/2006
Last updated
12/17/2008
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