Organization
FALLSGROVE SURGERY CENTER
Active
Other names
Fallsgrove Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIU TING NG-WAGNER M.D. (MEDICAL DIRECTOR)
(301) 340-1495
Entity
Organization
Contact information
Practice address
14955 SHADY GROVE RD, SUITE 125, ROCKVILLE, MD 20850-8700
(301) 340-1495
(301) 838-9712
Mailing address
14955 SHADY GROVE RD, SUITE 125, ROCKVILLE, MD 20850-8700
(301) 340-1495
(301) 838-9712
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1435
MD
Other
Enumeration date
09/24/2006
Last updated
08/15/2022
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