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MASSACHUSETTS AVENUE SURGERY CENTER NPI 1568513950


NPI Information

NPI: 1568513950
Provider Name: MASSACHUSETTS AVENUE SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
6400 GOLDSBORO RD
SUITE 400
BETHESDA, MD
ZIP 20817
Phone: (301) 263-0800
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MASSACHUSETTS AVENUE SURGERY CENTER is an ambulatory surgical clinic center in Bethesda, MD. MASSACHUSETTS AVENUE SURGERY CENTER NPI is 1568513950. The provider is registered as an organization entity type.

The provider's business location address is:

6400 GOLDSBORO RD
SUITE 400
BETHESDA, MD
ZIP 20817-826
Phone: (301) 263-0800
Fax: (301) 263-0820

The provider's authorized official is Randy Gross .
The authorized official title is Administrator and has the following contact phone number (301) 263-0800.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 4/29/2008.


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 SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A00064MEDICARE PINMARYLAND

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: 11/14/2023

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