ADVANCED SURGERY CENTER OF BETHESDA LLC NPI 1972869881

NPI Information

ADVANCED SURGERY CENTER OF BETHESDA, LLC is an ambulatory surgical clinic center in Bethesda, MD. ADVANCED SURGERY CENTER OF BETHESDA, LLC NPI is 1972869881. The provider is registered as an organization entity type.

The provider's business location address is:

6430 ROCKLEDGE DR
# 160
BETHESDA, MD
ZIP 20817-805
Phone: (301) 312-6144
Fax: (301) 312-6171

The provider's authorized official is Ryan Miyamoto .
The authorized official title is Ceo and has the following contact phone number (571) 233-3292.

The CLIA number assigned to this NPI record is 21D2045229 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2012 and was last updated on 11/20/2012.

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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