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Organization

CLEARWAY SURGERY CENTER OF FREDERICK LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IRA KORNBLUTH M.D. (PRESIDENT)
(855) 527-7246
Entity
Organization

Contact information

Practice address
7100 GUILFORD DR STE 152, FREDERICK, MD 21704-5257
(855) 527-7246
(866) 229-5063
Mailing address
201 DEFENSE HWY STE 205, ANNAPOLIS, MD 21401-7096
(855) 527-7246
(866) 229-5063

Taxonomy

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

Other

Enumeration date
03/29/2022
Last updated
03/29/2022
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