Organization
PREMIER SURGICAL PAVILION OF OXON HILL
Active
Other names
Premier Surgical Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE DEACON (DIRECTOR OF REVENUE CYCLE)
(631) 760-1546
Entity
Organization
Contact information
Practice address
6178 OXON HILL RD, FIRST FLOOR, OXON HILL, MD 20745-3109
(301) 292-9220
Mailing address
PO BOX 1970, NEW YORK, NY 10156-1970
(631) 760-1546
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2015
Last updated
03/05/2024
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