Organization
FOUR CORNERS AMBULATORY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY A LIEBERMAN D.P.M. (MEDICAL DIRECTOR)
(301) 681-8400
Entity
Organization
Contact information
Practice address
10101 LORAIN AVE, SILVER SPRING, MD 20901-2458
(301) 681-8400
(301) 681-3339
Mailing address
10101 LORAIN AVE, SILVER SPRING, MD 20901-2458
(301) 681-8400
(301) 681-3339
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1093
MD
Other
Enumeration date
07/15/2005
Last updated
10/07/2014
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