SLADE ASC LLC NPI 1871504803

NPI Information

SLADE ASC, LLC is an ambulatory surgical clinic center in Owings Mills, MD. SLADE ASC, LLC NPI is 1871504803. The provider is registered as an organization entity type.

The provider's business location address is:

10 CROSSROADS DRIVE
SUITE 104
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 654-5700
Fax: (410) 654-5399

The provider's authorized official is Richard Alan Gruen .
The authorized official title is Medical Director and has the following contact phone number (410) 654-5700.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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