Organization
BAY SURGERY CENTERS - WALDORF, LLC
Active
Other names
Clearway Surgery Center of Waldorf
Organization subpart
No
Provider details
NPI number
Authorized official
IRA KORNBLUTH M.D. (PRESIDENT)
(855) 527-7246
Entity
Organization
Contact information
Practice address
3261 OLD WASHINGTON RD STE 3010A, WALDORF, MD 20602-3229
(855) 527-7246
(866) 229-5063
Mailing address
201 DEFENSE HWY STE 205, ANNAPOLIS, MD 21401-7096
(855) 527-7246
(866) 229-5063
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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