Organization
SLADE ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALAN GRUEN M.D. (MEDICAL DIRECTOR)
(410) 654-5700
Entity
Organization
Contact information
Practice address
10 CROSSROADS DRIVE, SUITE 104, OWINGS MILLS, MD 21117
(410) 654-5700
(410) 654-5399
Mailing address
10 CROSSROADS DRIVE, SUITE 104, OWINGS MILLS, MD 21117
(410) 654-5700
(410) 654-5399
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
D0025907
MD
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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