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Organization

GYNEMED SURGICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID MICHAEL O'NEIL M.D. (MEDICAL DIRECTOR)
(410) 391-1000
Entity
Organization

Contact information

Practice address
17 FONTANA LN, SUITE 201, BALTIMORE, MD 21237-3042
(410) 391-1000
(410) 391-0943
Mailing address
17 FONTANA LN, SUITE 201, BALTIMORE, MD 21237-3042
(410) 391-1000
(410) 391-0943

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
A1165
MD

Other

Enumeration date
05/25/2007
Last updated
04/25/2008
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