Organization
SUMMIT AMBULATORY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANFORD J. SIEGEL M.D. (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(443) 738-8163
Entity
Organization
Contact information
Practice address
251 LEWIS LANE, SUITE 203, HAVRE DE GRACE, MD 21078-5421
(410) 942-0130
(410) 939-3538
Mailing address
25 CROSSROADS DRIVE, SUITE 306, OWINGS MILLS, MD 21117-4295
(443) 738-2872
(443) 738-2713
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800906615
—
MD
Enumeration date
08/20/2008
Last updated
07/28/2016
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