Organization
AAU GREENBELT ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARA R. HOLTON MD (CEO/PRESIDENT)
(410) 246-8049
Entity
Organization
Contact information
Practice address
7855 WALKER DR STE 102, GREENBELT, MD 20770-3293
(410) 266-8049
Mailing address
600 RIDGELY AVE STE 130, ANNAPOLIS, MD 21401-1045
(410) 266-8049
(410) 266-3831
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
08/05/2021
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