Organization
LUTHERVILLE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY LONG CBOM, PMEC (BUSINESS OFFICE MANAGER)
(410) 834-5600
Entity
Organization
Contact information
Practice address
1609 E JOPPA RD, TOWSON, MD 21286
(410) 834-5600
Mailing address
1609 E JOPPA RD, TOWSON, MD 21286-2122
(410) 834-5600
(410) 834-5616
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
12/16/2020
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