Organization
LAUREL AMBULATORY SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY LYNN QUARTO CMA (CREDENTIALING)
(410) 451-3206
Entity
Organization
Contact information
Practice address
2401 BRANDERMILL BLVD, # 340, GAMBRILLS, MD 21054-1690
(410) 451-3206
(410) 451-3207
Mailing address
2401 BRANDERMILL BLVD, # 340, GAMBRILLS, MD 21054-1690
(410) 451-3206
(410) 451-3207
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1144
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211144
—
MD
Enumeration date
11/01/2006
Last updated
03/17/2009
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