Organization
ROCKVILLE AMBULATORY SURGERY, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADAEZE I. OBIOHA (ADMINISTRATIVE DIRECTOR)
(301) 770-3334
Entity
Organization
Contact information
Practice address
11400 ROCKVILLE PIKE, SUITE 108, ROCKVILLE, MD 20852-3004
(301) 770-3334
(301) 770-3336
Mailing address
11400 ROCKVILLE PIKE, SUITE 108, ROCKVILLE, MD 20852-3004
(301) 770-3334
(301) 770-3336
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1254
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
395502800
—
MD
01
—
A1254
LICENSE
MD
Enumeration date
10/16/2006
Last updated
12/28/2011
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