Organization
SURGCENTER OF WHITE MARSH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (OFFICER/AUTHORIZED OFFICIAL)
(203) 609-1168
Entity
Organization
Contact information
Practice address
11605 CROSSROADS CIR, BALTIMORE, MD 21220-2865
(410) 344-0003
(410) 344-1330
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(410) 344-0003
(410) 344-1330
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2010
Last updated
09/17/2024
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