institution
Shady Grove Ambulatory Surgery Center,llc
Ambulatory Surgical Clinic/Center in Gaithersburg, Maryland
NPI 1558463257

Shady Grove Ambulatory Surgery Center,llc is an Ambulatory Surgical Clinic/Center based in Gaithersburg, MD and is specialized in Ambulatory Surgical. Shady Grove Ambulatory Surgery Center,llc practices in Gaithersburg, MD. The NPI Number for Shady Grove Ambulatory Surgery Center,llc is 1558463257 and holds a License No. A1135 (Maryland).

The current practice location address for Shady Grove Ambulatory Surgery Center,llc is 16220 S Frederick Ave, Gaithersburg, MD and can be reached out via phone at 301-948-2995 and via fax at 301-948-6056. You can also correspond with Shady Grove Ambulatory Surgery Center,llc through the mailing address at 16220 S FREDERICK AVE, GAITHERSBURG, MD - 20877-4039 (mailing address contact number: 301-948-2995).

Location: 16220 S Frederick Ave, Gaithersburg, MD, 20877-4039
institution
Provider Profile Details
NPI Number
1558463257
Provider Name
Shady Grove Ambulatory Surgery Center,llc
Credential
Provider Entity Type
Organization
Address
16220 S Frederick Ave, Gaithersburg, MD, 20877-4039
Phone Number
301-948-2995
Fax Number
301-948-6056
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A1135 01 MD MARYLAND STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
16220 S Frederick Ave
City
State
Zip
20877-4039
Phone Number
301-948-2995
Fax Number
301-948-6056
person
Provider Business Mailing Address Details
Address
16220 S Frederick Ave
City
State
Zip
20877-4039
Phone Number
301-948-2995
Fax Number
301-948-6056
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
A1135 (Maryland)
Definition
Definition to come...
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