Organization
SURGICAL ASSOCIATES CHARTERED
Active
Parent organization
SURGICAL ASSOCIATES CHARTERED
Organization subpart
Yes
Provider details
NPI number
Legal business name
SURGICAL ASSOCIATES CHARTERED
Authorized official
MRS. RITA GROVER M.D. (AUTHORIZED OFFICIAL)
(240) 427-1630
Entity
Organization
Contact information
Practice address
11370 PEMBROOKE SQ, WALDORF, MD 20603-4842
(240) 427-1620
(301) 645-8663
Mailing address
5801 ALLENTOWN RD STE 502, CAMP SPRINGS, MD 20746-4653
(240) 427-1630
(240) 492-2070
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205221100
—
MD
Enumeration date
05/07/2018
Last updated
04/28/2025
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