Organization
JOHNS HOPKINS SURGERY CENTERS SERIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ISHII (AUTHORIZED OFFICIAL)
(410) 955-4985
Entity
Organization
Contact information
Practice address
5759 CEDAR LN, COLUMBIA, MD 21044-2912
(443) 718-3738
Mailing address
10803 FALLS ROAD, PAVILLION 3, SUITE 2500, LUTHERVILLE, MD 20193
(410) 583-7185
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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