Organization
ASC RENEW MARYLAND SCIENCE AND TECH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R. BENJAMIN M.D. (MEDICAL DIRECTOR)
(301) 262-8896
Entity
Organization
Contact information
Practice address
4861 TELSA DR, SUITE A, BOWIE, MD 20715-4318
(301) 262-8896
Mailing address
16701 MELFORD BLVD, SUITE 110, BOWIE, MD 20715-4305
(301) 262-8896
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2008
Last updated
07/07/2008
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