Organization
UNIVERSITY OF MARYLAND SHORE SURGERY CENTER AT QUEENSTOWN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH D KOZEL (PRESIDENT/CEO)
(410) 822-1000
Entity
Organization
Contact information
Practice address
125 SHOREWAY DR, QUEENSTOWN, MD 21658-1680
(410) 822-1000
Mailing address
219 S WASHINGTON ST, EASTON, MD 21601-2913
(410) 822-1000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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