Organization
GENERAL SURGERY AMBULATORY SURGICAL CENTER, A.S.C., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAEN J. FARHA M.D. (PRESIDENT)
(410) 321-8720
Entity
Organization
Contact information
Practice address
3333 N CALVERT ST, SUITE 655, BALTIMORE, MD 21218-2867
(410) 321-8720
(410) 321-8723
Mailing address
PO BOX 10714, TOWSON, MD 21285-0714
(410) 321-8720
(410) 321-8723
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1289
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490003988
RAILROAD MEDICARE
GA
01
—
68731401
CAREFIRST
MD
05
—
872000200
—
MD
01
—
NH2
CAREFIRST DC
DC
Enumeration date
11/15/2006
Last updated
12/23/2010
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