PRIVATE SURGICAL SUITE LLC NPI 1073644399

NPI Information

PRIVATE SURGICAL SUITE, LLC is an ambulatory surgical clinic center in Chevy Chase, MD. PRIVATE SURGICAL SUITE, LLC NPI is 1073644399. The provider is registered as an organization entity type.

The provider's business location address is:

5530 WISCONSIN AVE
SUITE 1455
CHEVY CHASE, MD
ZIP 20815-404
Phone: (301) 656-8008
Fax: (301) 656-6701

The provider's authorized official is Thomas G Zorc .
The authorized official title is Member and has the following contact phone number (301) 656-8008.

The CLIA number assigned to this NPI record is 21D2002985 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 1/27/2010.

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:

Other Identifiers

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

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