institution
Antietam Urosurgical Center Llc Asc
Ambulatory Surgical Clinic/Center in Hagerstown, Maryland
NPI 1437106846

Antietam Urosurgical Center Llc Asc is an Ambulatory Surgical Clinic/Center based in Baltimore, MD and is specialized in Ambulatory Surgical. Antietam Urosurgical Center Llc Asc practices in Hagerstown, MD. The NPI Number for Antietam Urosurgical Center Llc Asc is 1437106846 and holds a License No. A1224 (Maryland).

The current practice location address for Antietam Urosurgical Center Llc Asc is 11110 Medical Campus Rd, Hagerstown, MD and can be reached out via phone at 301-733-0022 and via fax at 301-733-3461. You can also correspond with Antietam Urosurgical Center Llc Asc through the mailing address at PO BOX 37768, BALTIMORE, MD - 21297-3768 (mailing address contact number: 301-733-0022).

Location: 11110 Medical Campus Rd, Hagerstown, MD, 21297-3768
institution
Provider Profile Details
NPI Number
1437106846
Provider Name
Antietam Urosurgical Center Llc Asc
Credential
Provider Entity Type
Organization
Address
11110 Medical Campus Rd, Hagerstown, MD, 21297-3768
Phone Number
301-733-0022
Fax Number
301-733-3461
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21C0001224 01 CCN
institution
Provider Business Practice Location Address Details
Address
11110 Medical Campus Rd
City
State
Zip
21742-6700
Phone Number
301-733-0022
Fax Number
301-733-3461
person
Provider Business Mailing Address Details
Address
11110 Medical Campus Rd
City
State
Zip
21742-6700
Phone Number
301-733-0022
Fax Number
301-733-3461
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
A1224 (Maryland)
Definition
Definition to come...
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