SURGICAL SPECIALTY CENTER OF MID ATLANTIC LLC NPI 1659772648

NPI Information

SURGICAL SPECIALTY CENTER OF MID ATLANTIC, LLC is an ambulatory surgical clinic center in Bethesda, MD. SURGICAL SPECIALTY CENTER OF MID ATLANTIC, LLC NPI is 1659772648. The provider is registered as an organization entity type.

The provider's business location address is:

6430 ROCKLEDGE DR
SUITE # 110
BETHESDA, MD
ZIP 20817-805
Phone: (240) 630-8241
Fax: (240) 800-3950

The provider's authorized official is David Andrew Parker .
The authorized official title is Ceo and has the following contact phone number (240) 630-8241.

The CLIA number assigned to this NPI record is 21D2088748 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/9/2014 and was last updated on 2/2/2015.

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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