Organization
MARYLAND AESTHETIC AND RECONSTRUCTIVE AMBULATORY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARAB HORMOZI M.D. (PRESIDENT)
(410) 825-4022
Entity
Organization
Contact information
Practice address
8415 BELLONA LN, SUITE 212, TOWSON, MD 21204-2055
(410) 825-4022
(410) 825-6439
Mailing address
8415 BELLONA LN, SUITE 212, TOWSON, MD 21204-2055
(410) 825-4022
(410) 825-6439
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1296
MD
Other
Enumeration date
11/27/2006
Last updated
03/09/2012
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