Organization
PRINCE FREDERICK SURGERY 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
70 SHERRY LANE, SUITE 101, PRINCE FREDERICK, MD 20678
(417) 889-2040
(417) 887-2125
Mailing address
70 SHERRY LN STE 101, PRINCE FREDERICK, MD 20678-3276
(443) 486-4230
(443) 486-4231
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2009
Last updated
01/10/2025
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