Organization
NEWBRIDGE SURGERY CENTER AT PRINCE FREDERICK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRUTHYUNJAYA GONCHIGAR M.D. (SOLE OWNER)
(301) 461-6687
Entity
Organization
Contact information
Practice address
80 SHERRY LN STE 101B, PRINCE FREDERICK, MD 20678-3232
(410) 414-9229
(410) 414-9339
Mailing address
196 THOMAS JOHNSON DR, SUITE 215, FREDERICK, MD 21702-4397
(301) 668-9988
(301) 668-9977
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2010
Last updated
04/04/2025
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