Organization
SUMMIT AMBULATORY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANFORD J SIEGEL M.D. (PRESIDENT)
(410) 581-1600
Entity
Organization
Contact information
Practice address
8322 BELLONA AVE, SUITE 390, TOWSON, MD 21204-2065
(410) 825-6310
(410) 825-6320
Mailing address
25 CROSSROADS DR, SUITE306, OWINGS MILLS, MD 21117-5421
(443) 738-2872
(443) 738-2713
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800906611
—
MD
Enumeration date
10/03/2007
Last updated
07/28/2016
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