Organization
ELLICOTT CITY AMBULATORY SURGERY CENTER, LLLP
Active
Other names
Ellicott City Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN G HARTLEY RN (ADMINISTRATOR)
(410) 461-1600
Entity
Organization
Contact information
Practice address
2850 NORTH RIDGE ROAD, ELLICOTT CITY, MD 21043
(410) 461-1600
(410) 750-7615
Mailing address
2850 NORTH RIDGE ROAD, ELLICOTT CITY, MD 21043
(410) 461-1600
(410) 750-7615
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1003R
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410706300
—
MD
Enumeration date
09/20/2006
Last updated
06/11/2010
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