ANDOCHICK SURGICAL CENTER LLC NPI 1710952841

NPI Information

ANDOCHICK SURGICAL CENTER LLC is an ambulatory surgical clinic center in Frederick, MD. ANDOCHICK SURGICAL CENTER LLC NPI is 1710952841. The provider is registered as an organization entity type.
The provider Is Doing Business As Physicians Surgery Center Of Frederick.

The provider's business location address is:

81 THOMAS JOHNSON COURT
SUITE B
FREDERICK, MD
ZIP 21702
Phone: (240) 215-3070
Fax: (240) 215-3071

The provider's authorized official is Scott E. Andochick .
The authorized official title is Owner-chairman and has the following contact phone number (301) 620-4200.

The CLIA number assigned to this NPI record is 21D0981377 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 1/20/2016.

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:

Other Identifiers

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

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