Organization
BALTIMORE WASHINGTON SURGERY CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMENICK COLETTI M.D., D.D.S. (DIRECTOR)
(410) 997-1010
Entity
Organization
Contact information
Practice address
10710 CHARTER DR, SUITE 340, COLUMBIA, MD 21044-2858
(410) 997-1010
(410) 997-0807
Mailing address
10710 CHARTER DR, SUITE 340, COLUMBIA, MD 21044-2858
(410) 997-1010
(410) 997-0807
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1497
MD
Other
Enumeration date
07/01/2009
Last updated
05/08/2013
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