Organization
SUMMIT AMBULATORY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BEASLEY (OFFICER/AUTHORIZED OFFICIAL)
(203) 609-1168
Entity
Organization
Contact information
Practice address
7580 BUCKINGHAM BLVD, SUITE 100, HANOVER, MD 21076-3181
(443) 738-2872
Mailing address
14201 DALLAS PKWY STE 306, DALLAS, TX 75254-2916
(469) 872-4706
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
07/30/2025
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