Organization
ANDOCHICK SURGICAL CENTER LLC
Active
Other names
PHYSICIANS SURGERY CENTER OF FREDERICK
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT E. ANDOCHICK M.D. (OWNER-CHAIRMAN)
(301) 620-4200
Entity
Organization
Contact information
Practice address
81 THOMAS JOHNSON COURT, SUITE B, FREDERICK, MD 21702
(240) 215-3070
(240) 215-3071
Mailing address
81 THOMAS JOHNSON COURT, SUITE B, FREDERICK, MD 21702
(240) 215-3070
(240) 215-3071
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
208200000X
MD
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420883800
—
MD
Enumeration date
02/22/2006
Last updated
01/20/2016
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