Organization
PRINCE GEORGES MULTI SPECIALTY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E BUBSER D.P.M. (PRESIDENT)
(301) 499-3338
Entity
Organization
Contact information
Practice address
8700 CENTRAL AVENUE, SUITE 105, LANDOVER, MD 20785-4831
(301) 499-3338
(301) 499-1266
Mailing address
8700 CENTRAL AVE, SUITE 105, LANDOVER, MD 20785-4831
(301) 499-3338
(301) 499-1266
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1073
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1073
STATE LICENSE
MD
Enumeration date
04/13/2007
Last updated
03/15/2010
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