SHADY GROVE AMBULATORY SURGERY CENTER,LLC is an ambulatory surgical clinic center in Gaithersburg, MD. SHADY GROVE AMBULATORY SURGERY CENTER,LLC NPI is 1558463257. The provider is registered as an organization entity type.
The provider's business location address is:
16220 S FREDERICK AVE
SUITE 427
GAITHERSBURG, MD
ZIP 20877-039
Phone: (301) 948-2995
Fax: (301) 948-6056
The provider's authorized official is Ronald Allen Footer .
The authorized official title is Medical Director and has the following contact phone number (301) 948-2995.
The enumeration date for this NPI number is 9/2/2006 and was last updated on 8/25/2009.