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Organization

JOHNS HOPKINS SURGERY CENTERS SERIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISA ISHII (SENIOR VICE PRESIDENT)
(105) 837-1854
Entity
Organization

Contact information

Practice address
4924 CAMPBELL BLVD, SUITE 250, NOTTINGHAM, MD 21236-5908
(410) 321-1124
(410) 321-5509
Mailing address
10803 FALLS ROAD, PAVILLION 3, SUITE 2500 C/O LISA ISHII, LUTHERVILLE, MD 20193-4573
(410) 583-7185

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
=========
EIN
MD
Enumeration date
04/03/2007
Last updated
03/09/2020
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