Organization
THE GYNECOLOGY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA ALTAMARINO-BEHNAM (ADMINISTRATOR)
(301) 759-3924
Entity
Organization
Contact information
Practice address
925 BISHOP WALSH ROAD, STE # 8, CUMBERLAND, MD 21502
(301) 759-3924
(301) 759-4632
Mailing address
925 BISHOP WALSH ROAD, STE # 8, CUMBERLAND, MD 21502
(301) 759-3924
(301) 759-4632
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1363
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401097300
—
MD
Enumeration date
07/22/2006
Last updated
05/21/2010
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