institution
Pembrooke Square Surgery Center, Llc
Ambulatory Surgical Clinic/Center in Waldorf, Maryland
NPI 1912993700

Pembrooke Square Surgery Center, Llc is an Ambulatory Surgical Clinic/Center based in Waldorf, MD and is specialized in Ambulatory Surgical. Pembrooke Square Surgery Center, Llc practices in Waldorf, MD. The NPI Number for Pembrooke Square Surgery Center, Llc is 1912993700 and holds a License No. A1407 (Maryland).

The current practice location address for Pembrooke Square Surgery Center, Llc is 11370 Pembrooke Sq, Waldorf, MD and can be reached out via phone at 301-396-8492 and via fax at 301-396-8498.

Location: 11370 Pembrooke Sq, Waldorf, MD, 20603-4842
institution
Provider Profile Details
NPI Number
1912993700
Provider Name
Pembrooke Square Surgery Center, Llc
Credential
Provider Entity Type
Organization
Address
11370 Pembrooke Sq, Waldorf, MD, 20603-4842
Phone Number
301-396-8492
Fax Number
301-396-8498
Provider Enumeration Date
09/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3771631 01 AETNA HMO
407056900 05 MD
64470501 01 MD BCBS OF MD
7862630 01 AETNA PPO
RT6 01 DC BCBS NATIONAL CAP AREA
institution
Provider Business Practice Location Address Details
Address
11370 Pembrooke Sq
City
State
Zip
20603-4842
Phone Number
301-396-8492
Fax Number
301-396-8498
person
Provider Business Mailing Address Details
Address
11370 Pembrooke Sq
City
State
Zip
20603-4842
Phone Number
301-396-8492
Fax Number
301-396-8498
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
A1407 (Maryland)
Definition
Definition to come...
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