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Organization

AMBULATORY PLASTIC SURGERY CENTER ASSOCIATES, CHARTERED

Active
Parent organization
AMBULATORY PLASTIC SURGERY CENTER ASSOCIATES, CHARTERED
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMBULATORY PLASTIC SURGERY CENTER ASSOCIATES, CHARTERED
Authorized official
DR. MICHAEL PAUL VINCENT MD (PRESIDENT)
(240) 912-4708
Entity
Organization

Contact information

Practice address
15245 SHADY GROVE RD, SUITE 155, ROCKVILLE, MD 20850-3222
(240) 912-4708
(240) 912-6992
Mailing address
15245 SHADY GROVE RD, SUITE 155, ROCKVILLE, MD 20850-3222
(240) 912-4708
(240) 912-6992

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1050
MD

Other

Enumeration date
07/12/2006
Last updated
05/16/2014
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