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Organization

COLUMBIA MD ORTHOPAEDIC ASC, LLC

Active
Other names
Hickory Ridge Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY D. KLING (CFO)
(301) 774-0501
Entity
Organization

Contact information

Practice address
10700 CHARTER DR #301, COLUMBIA, MD 21044-4000
(410) 910-2301
(410) 910-2303
Mailing address
10700 CHARTER DR #301, COLUMBIA, MD 21044-4000
(410) 910-2301
(410) 910-2303

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1388
MD

Other

Enumeration date
04/06/2007
Last updated
12/02/2013
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