Organization
KENILWORTH SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY J MILLER MD (MEDICAL DIRECTOR)
(443) 279-0340
Entity
Organization
Contact information
Practice address
1104 KENILWORTH DR, STE 201, TOWSON, MD 21204
(443) 279-0340
(443) 279-0343
Mailing address
1104 KENILWORTH DR, STE 201, TOWSON, MD 21204
(443) 279-0340
(443) 279-0343
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A1367
MD
Other
Enumeration date
12/29/2006
Last updated
07/10/2013
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