Organization
MAPLE LAWN SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (OFFICER/AUTHORIZED OFFICAL)
(203) 609-1168
Entity
Organization
Contact information
Practice address
7625 MAPLE LAWN BLVD, SUITE 110, FULTON, MD 20759-2565
(443) 977-0085
Mailing address
7625 MAPLE LAWN BLVD, SUITE 110, FULTON, MD 20759-2565
(443) 977-0085
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2008
Last updated
10/11/2024
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