Organization
9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL MARTINEZ (OWNER/MD)
(410) 687-2656
Entity
Organization
Contact information
Practice address
9106 PHILADELPHIA RD, SUITE 306, BALTIMORE, MD 21237
(410) 687-2656
(410) 687-3805
Mailing address
9106 PHILADELPHIA RD, SUITE 306, BALTIMORE, MD 21237
(410) 687-2656
(410) 687-3805
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2008
Last updated
04/16/2021
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