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Organization

SUMMIT AMBULATORY SURGICAL CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN BAILEY (OFFICER/AUTHORIZED OFFICIAL)
(203) 609-1168
Entity
Organization

Contact information

Practice address
201 PLUMTREE RD, SUITE 200, BEL AIR, MD 21015-6044
(410) 803-0089
(410) 803-0251
Mailing address
14201 DALLAS PKWY STE 306, DALLAS, TX 75254-2916
(469) 872-4706

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
800906617
MD
Enumeration date
08/07/2009
Last updated
01/14/2025
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