ANTIETAM UROSURGICAL CENTER LLC ASC is an ambulatory surgical clinic center in Hagerstown, MD. ANTIETAM UROSURGICAL CENTER LLC ASC NPI is 1437106846. The provider is registered as an organization entity type.
The provider's business location address is:
11110 MEDICAL CAMPUS RD
SUITE 228
HAGERSTOWN, MD
ZIP 21742-700
Phone: (301) 733-0022
Fax: (301) 733-3461
The provider's authorized official is Debbie K Klauka .
The authorized official title is Administrator and has the following contact phone number (301) 665-4879.
The CLIA number assigned to this NPI record is 21D1070178 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/30/2006 and was last updated on 3/22/2016.