Organization
SUMMIT AMBULATORY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANFORD J SIEGEL M.D. (PRESIDENT)
(443) 738-2872
Entity
Organization
Contact information
Practice address
6820 HOSPITAL DR, SUITE 200, BALTIMORE, MD 21237-4352
(410) 391-6131
(410) 391-6144
Mailing address
25 CROSSROADS DR, SUITE 306, OWINGS MILLS, MD 21117-5421
(443) 738-2872
(443) 738-2713
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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