Organization
THOMAS JOHNSON SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI YALAMANCHILI M.D. (PRESIDENT)
(301) 846-0100
Entity
Organization
Contact information
Practice address
197 THOMAS JOHNSON DR, FREDERICK, MD 21702-4314
(301) 631-3881
(301) 631-3883
Mailing address
197 THOMAS JOHNSON DR, FREDERICK, MD 21702-4314
(301) 631-3881
(301) 631-3883
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1465
MD
Other
Enumeration date
12/23/2007
Last updated
03/03/2009
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