Organization
ASC DEVELOPMENT COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J BROUILLETTE DO (REGIONAL MEDICAL DIRECTOR)
(301) 588-0505
Entity
Organization
Contact information
Practice address
8455 COLESVILLE RD, 2ND FLOOR, SILVER SPRING, MD 20910-3315
(301) 588-0505
Mailing address
11350 MCCORMICK RD STE 501, HUNT VALLEY, MD 21031-1002
(301) 588-0505
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MD
Other
Enumeration date
02/06/2013
Last updated
04/24/2023
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