Organization
SURGERY CENTER OF POTOMAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM GASTON TATTELBAUM MD (OWNER)
(240) 747-5631
Entity
Organization
Contact information
Practice address
3203 TOWER OAKS BLVD, #100, ROCKVILLE, MD 20852
(240) 747-5631
(301) 754-2503
Mailing address
3203 TOWER OAKS BLVD, #100, ROCKVILLE, MD 20852
(240) 747-5631
(301) 754-2503
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1404
MD
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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