Organization
FOREFRONT ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH H KATZ MD (MD PRESIDENT)
(960) 663-9013
Entity
Organization
Contact information
Practice address
8301 OLD COURTHOUSE RD, VIENNA, VA 22185-3804
(703) 442-0300
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9013
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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