Organization
PHOENIX SURGICAL CARE LLC
Active
Other names
Phoenix Surgical Care
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE MALCOLM MD (OWNER)
(301) 662-2000
Entity
Organization
Contact information
Practice address
174 THOMAS JOHNSON DR STE 100, FREDERICK, MD 21702-4569
(301) 662-2000
(301) 662-2500
Mailing address
174 THOMAS JOHNSON DR STE 100, FREDERICK, MD 21702-4569
(301) 662-2000
(301) 662-2500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0073819
STATE OF MARYLAND (DEPARTMENT OF HEALTH)
MD
Enumeration date
03/19/2020
Last updated
07/12/2022
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