Organization
LEONARDTOWN SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (OFFICER/AUTHORIZED OFFICIAL)
(203) 609-1168
Entity
Organization
Contact information
Practice address
40900 MERCHANTS LN, SUITE 200, LEONARDTOWN, MD 20650-3795
(301) 690-2203
Mailing address
40900 MERCHANTS LN UNIT 200, LEONARDTOWN, MD 20650-3796
(301) 690-2203
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2011
Last updated
09/17/2024
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