GYN SURGICENTER ROCKVILLE PC NPI 1427428440

NPI Information

GYN SURGICENTER ROCKVILLE PC is an ambulatory surgical clinic center in Rockville, MD. GYN SURGICENTER ROCKVILLE PC NPI is 1427428440. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Innovations Rockville.

The provider's business location address is:

3206 TOWER OAKS BLVD
SUITE 100
ROCKVILLE, MD
ZIP 20852-254
Phone: (240) 669-3134
Fax: (240) 669-3053

The provider's authorized official is Louie Balinao .
The authorized official title is Or Manager and has the following contact phone number (443) 574-4125.

The CLIA number assigned to this NPI record is 21D2118400 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2015 and was last updated on 1/4/2017.

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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