Organization
ENDOSCOPIC SURGICAL CENTRE OF MARYLAND LLC
Active
Other names
Endoscopic Surgical Centre of Maryland
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER A HOLDEN (CHIEF MANAGER OF LLC)
(615) 665-1283
Entity
Organization
Contact information
Practice address
10801 LOCKWOOD DR, SUITE 110, SILVER SPRING, MD 20901-1556
(301) 593-5110
(301) 593-6269
Mailing address
10801 LOCKWOOD DR, SUITE 110, SILVER SPRING, MD 20901-1556
(301) 593-5110
(301) 593-6269
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1226
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054141
KAISER PROVIDER NUMBER
—
01
—
247638
MAMSI PROVIDER NUMBER
—
01
—
483056
NCPPO
—
01
—
60699901
BC/BS OF MARYLAND
MD
01
—
6800172
UNITEDHEALTHCARE NUMBER
—
01
—
PJ9
BC/BS NATIONALCAPITALAREA
—
Enumeration date
10/02/2006
Last updated
04/20/2008
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