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Organization

DELMAR SURGICAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE J STACK (DIRECTOR OF BILLING)
(774) 320-3040
Entity
Organization

Contact information

Practice address
103 CHESAPEAKE BLVD STE C, ELKTON, MD 21921-6313
(410) 392-6133
(410) 392-4958
Mailing address
103 CHESAPEAKE BLVD STE C, ELKTON, MD 21921-6313
(410) 392-6133
(410) 392-4958

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
D0036586
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
074Z
MEDICARE
MD
Enumeration date
11/01/2006
Last updated
02/06/2025
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