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Organization

NORTHERN BALTIMORE SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OLIVER J CHAMBERLAIN (OWNER, MANAGER)
(410) 825-3131
Entity
Organization

Contact information

Practice address
110 WEST RD, STE 229, TOWSON, MD 21204-2316
(410) 825-3131
(410) 825-4037
Mailing address
110 WEST RD, STE 229, TOWSON, MD 21204
(410) 825-3131
(410) 825-4037

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1187
MD

Other

Enumeration date
12/06/2006
Last updated
06/17/2016
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