FALLSGROVE SURGERY CENTER NPI 1679673297

NPI Information

  • NPI: 1679673297
  • Provider Name: FALLSGROVE SURGERY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: FALLSGROVE SURGERY CENTER
  • Address: 14955 SHADY GROVE RD
    SUITE 125
    ROCKVILLE, MD
    ZIP 20850
  • Phone: (301) 340-1495

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NPI Details

FALLSGROVE SURGERY CENTER is an ambulatory surgical clinic center in Rockville, MD. FALLSGROVE SURGERY CENTER NPI is 1679673297. The provider is registered as an organization entity type.
The provider Is Doing Business As Fallsgrove Surgery Center.

The provider's business location address is:

14955 SHADY GROVE RD
SUITE 125
ROCKVILLE, MD
ZIP 20850-700
Phone: (301) 340-1495
Fax: (301) 838-9712

The provider's authorized official is Siu Ting Ng-wagner .
The authorized official title is Medical Director and has the following contact phone number (301) 340-1495.

The enumeration date for this NPI number is 9/24/2006 and was last updated on 8/15/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalA1435MARYLANDYes

What is NPI?

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This page was last updated on: 11/21/2025

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