SHADY GROVE SURGERY CENTER LLC is an obstetrics gynecology in Rockville, MD. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SHADY GROVE SURGERY CENTER LLC NPI is 1194222620. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
2403 RESEARCH BLVD STE 200
ROCKVILLE, MD
ZIP 20850-289
Phone: (240) 912-4546
Fax: (240) 912-4471
The provider's authorized official is Kathy Michelle Jones .
The authorized official title is Office Manager and has the following contact phone number (240) 912-4546.
The CLIA number assigned to this NPI record is 21D2040539 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 4/11/2018 and was last updated on 4/11/2018.