Organization
MARYLAND EYE SURGERY CENTER, L.L.C.
Active
Other names
The Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD BARTNICK (CHIEF EXECUTIVE OFFICER)
(410) 535-2270
Entity
Organization
Contact information
Practice address
800 PRINCE FREDERICK BLVD., PRINCE FREDERICK, MD 20678
(410) 535-2270
(410) 535-5749
Mailing address
800 PRINCE FREDERICK BLVD., PRINCE FREDERICK, MD 20678
(410) 535-2270
(410) 535-5749
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1333
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02RX
CAREFIRST BCBS
MD
01
—
2667944
AETNA HMO
—
01
—
293323
MAMSI
—
01
—
49004995
RAILROAD MEDICARE
—
05
—
748101200
—
MD
01
—
7819207
AETNA PPO
—
01
—
PN9
GHMSI
DC
Enumeration date
08/01/2006
Last updated
10/22/2007
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