MARYLAND AESTHETIC AND RECONSTRUCTIVE AMBULATORY SURGICAL CENTER LLC NPI 1528134293

NPI Information

MARYLAND AESTHETIC AND RECONSTRUCTIVE AMBULATORY SURGICAL CENTER LLC is an ambulatory surgical clinic center in Towson, MD. MARYLAND AESTHETIC AND RECONSTRUCTIVE AMBULATORY SURGICAL CENTER LLC NPI is 1528134293. The provider is registered as an organization entity type.

The provider's business location address is:

8415 BELLONA LN
SUITE 212
TOWSON, MD
ZIP 21204-055
Phone: (410) 825-4022
Fax: (410) 825-6439

The provider's authorized official is Darab Hormozi .
The authorized official title is President and has the following contact phone number (410) 825-4022.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 3/9/2012.

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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