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SUMMIT AMBULATORY SURGICAL CENTER LLC NPI 1003004482


NPI Profile

NPI: 1003004482
Provider Name: SUMMIT AMBULATORY SURGICAL CENTER, LLC
Classification:Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
120 SISTER PIERRE DR
SUITE 102
TOWSON, MD
ZIP 21204
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Phone: (410) 494-1402

SUMMIT AMBULATORY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Towson, MD. SUMMIT AMBULATORY SURGICAL CENTER, LLC NPI is 1003004482. The provider is registered as an organization entity type.

The provider's business location address is:

120 SISTER PIERRE DR
SUITE 102
TOWSON, MD
ZIP 21204-516
Phone: (410) 494-1402
Fax: (410) 296-8572

The provider's authorized official is Sanford J Siegel .
The authorized official title is President and has the following contact phone number (410) 581-1600.

The enumeration date for this NPI number is 10/10/2007 and was last updated on 8/31/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1800906600MEDICAIDMARYLAND
221C0001071MEDICARE UPINMARYLAND
3208ZMEDICARE PINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/14/2021

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