Organization
CAPITAL AREA SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MRUTHYUNJAYA GONCHIGAR (PARTNER)
(301) 668-4403
Entity
Organization
Contact information
Practice address
141 THOMAS JOHNSON DR STE 190, FREDERICK, MD 21702-4509
(301) 668-4403
(301) 668-4406
Mailing address
141 THOMAS JOHNSON DR STE 190, FREDERICK, MD 21702-4509
(301) 668-4403
(301) 668-4406
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1349
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6904006001
—
WV
Enumeration date
06/26/2006
Last updated
12/11/2007
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