Organization
CARROLL FOOTWORKS SURGERY CENTER ,LLC
Active
Other names
Glyndon Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNETTE JOYCE D.P.M. (DIRECTOR)
(410) 795-2155
Entity
Organization
Contact information
Practice address
4 GLYNDON DR, SUITE 2 A, REISTERSTOWN, MD 21136-2000
(410) 795-2155
(410) 795-2154
Mailing address
4 GLYNDON DR, SUITE 2 A, REISTERSTOWN, MD 21136-2000
(410) 795-2155
(410) 795-2154
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1428
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070
GHMSI
MD
01
—
1410709
AETNA HMO
MD
01
—
7469894
AETNA PPO
MD
Enumeration date
08/27/2006
Last updated
09/02/2009
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