SURGCENTER OF THE POTOMAC LLC NPI 1659748184

NPI Information

SURGCENTER OF THE POTOMAC, LLC is an ambulatory surgical clinic center in Bethesda, MD. SURGCENTER OF THE POTOMAC, LLC NPI is 1659748184. The provider is registered as an organization entity type.

The provider's business location address is:

6500 ROCK SPRING DR
100
BETHESDA, MD
ZIP 20817-105
Phone: (240) 483-0282
Fax: (240) 483-0484

The provider's authorized official is Brantley Vitek .
The authorized official title is Medical Director and has the following contact phone number (240) 483-0282.

The CLIA number assigned to this NPI record is 21D2104902 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2015 and was last updated on 11/4/2015.

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:

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