9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER LLC is an ambulatory surgical clinic center in Baltimore, MD. 9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER LLC NPI is 1942485305. The provider is registered as an organization entity type.
The provider's business location address is:
9106 PHILADELPHIA RD
SUITE 306
BALTIMORE, MD
ZIP 21237
Phone: (410) 687-2656
Fax: (410) 687-3805
The provider's authorized official is Gabriel Martinez .
The authorized official title is Owner/md and has the following contact phone number (410) 687-2656.
The CLIA number assigned to this NPI record is 21D2024551 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/4/2008 and was last updated on 4/16/2021.