Organization
MSC AMBULATORY SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORRIE POWELL (CREDENTIALING)
(301) 695-8346
Entity
Organization
Contact information
Practice address
77 THOMAS JOHNSON DR, STE E, FREDERICK, MD 21702-4893
(301) 695-8346
(301) 624-5837
Mailing address
77 THOMAS JOHNSON DR, STE E, FREDERICK, MD 21702-4893
(301) 695-8346
(301) 668-7819
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
21C0001422
MD
Other
Enumeration date
01/25/2007
Last updated
12/03/2024
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