Organization
RIVA ROAD SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI CASTEL (OFFICER/AUTHORIZED OFFICIAL)
(808) 772-7818
Entity
Organization
Contact information
Practice address
2635 RIVA RD STE 118, ANNAPOLIS, MD 21401-7430
(410) 571-9595
(410) 571-9590
Mailing address
2635 RIVA RD STE 118, ANNAPOLIS, MD 21401-7430
(410) 571-9595
(410) 571-9590
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
MD
Other
Enumeration date
01/19/2007
Last updated
05/02/2022
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