Organization
EYE SURGICAL CENTER OF BALTIMORE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS R COLKITT M.D. (DIRECTOR)
(814) 689-2066
Entity
Organization
Contact information
Practice address
1122 KENILWORTH DR, SUITE 18, TOWSON, MD 21204-2139
(410) 321-4400
(410) 321-4909
Mailing address
PO BOX 75221, BALTIMORE, MD 21275-5221
(410) 321-4400
(410) 321-4909
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1150R
MD
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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