Organization
SUMMIT AMBULATORY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (OFFICER/AUTHORIZED OFFICIAL)
(203) 609-1168
Entity
Organization
Contact information
Practice address
21 CROSSROADS DR, SUITE 220, OWINGS MILLS, MD 21117-5441
(410) 581-1600
(410) 581-1603
Mailing address
25 CROSSROADS DR, SUITE 306, OWINGS MILLS, MD 21117-5421
(410) 581-1600
(410) 581-1603
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800906613
—
MD
Enumeration date
10/10/2007
Last updated
01/16/2025
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