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NORTHERN BALTIMORE SURGERY CENTER LLC NPI 1447319603


NPI Information

NPI: 1447319603
Provider Name: NORTHERN BALTIMORE SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 21D1097359

Address:
110 WEST RD
STE 229
TOWSON, MD
ZIP 21204
Phone: (410) 825-3131
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NORTHERN BALTIMORE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Towson, MD. NORTHERN BALTIMORE SURGERY CENTER, LLC NPI is 1447319603. The provider is registered as an organization entity type.

The provider's business location address is:

110 WEST RD
STE 229
TOWSON, MD
ZIP 21204-316
Phone: (410) 825-3131
Fax: (410) 825-4037

The provider's authorized official is Oliver J Chamberlain .
The authorized official title is Owner, Manager and has the following contact phone number (410) 825-3131.

The CLIA number assigned to this NPI record is 21D1097359 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 6/17/2016.


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 SurgicalA1187MARYLANDYes

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: 4/28/2024

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