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Organization

BELCREST SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHNY MOTRAN D.P.M. (MANAGER/LEADING MEMB)
(301) 699-5900
Entity
Organization

Contact information

Practice address
6505 BELCREST RD, SUITE 1, HYATTSVILLE, MD 20782-2011
(301) 699-5900
(301) 699-9297
Mailing address
PO BOX 86284, MONTGOMERY VILLAGE, MD 20886-6284
(301) 699-5900
(301) 699-9297

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
213E00000X
Podiatrist
Primary
01450
MD

Other

Enumeration date
02/07/2007
Last updated
02/20/2014
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