Organization
COLLEGE PARK SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALPHA T. BANKS M.D. (MEDICAL DIRECTOR)
(301) 699-2292
Entity
Organization
Contact information
Practice address
12200 ANNAPOLIS RD, SUITE 220, GLENN DALE, MD 20769-9182
(301) 699-2292
(301) 699-2293
Mailing address
7309 BALTIMORE AVE, SUITE 220, COLLEGE PARK, MD 20740-3200
(301) 699-2292
(301) 699-2293
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
MD18563
DC
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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