Organization
AMBULATORY SURGERY CENTER OF BETHESDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS FORMAN M.D. (MEDICAL DIRECTOR)
(301) 984-8600
Entity
Organization
Contact information
Practice address
11210 OLD GEORGETOWN RD, NORTH BETHESDA, MD 20852-3202
(301) 984-8600
(301) 984-8601
Mailing address
11210 OLD GEORGETOWN RD, NORTH BETHESDA, MD 20852-3202
(301) 984-8600
(301) 984-8601
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1371
MD
Other
Enumeration date
09/27/2006
Last updated
05/04/2026
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