Organization
AMBULATORY SURGERY CENTER FOR PELVIC NEURO SCIENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A GORDON MD (PRESIDENT)
(410) 343-3001
Entity
Organization
Contact information
Practice address
1447 YORK RD, SUITE 406, LUTHERVILLE, MD 21093-6017
(410) 343-3001
(410) 834-0011
Mailing address
1447 YORK RD STE 406, LUTHERVILLE, MD 21093-6057
(410) 343-3001
(410) 823-0015
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
09/25/2023
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