Antietam Urosurgical Center Llc Asc in Baltimore - Ambulatory Surgical

Antietam Urosurgical Center Llc Asc - NPI 1437106846

Antietam Urosurgical Center Llc Asc is a Ambulatory Surgical in Baltimore, Maryland. Antietam Urosurgical Center Llc Asc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Antietam Urosurgical Center Llc Asc is 1437106846. The last update date is 2016-03-22.

Antietam Urosurgical Center Llc Asc's current location address is Po Box 37768, Baltimore, Maryland. You can contact this provider via phone number 3017330022 and fax number 3017333461. The mailing address for Antietam Urosurgical Center Llc Asc is Po Box 37768, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Antietam Urosurgical Center Llc Asc
Address Po Box 37768, Baltimore, Maryland
Phone Number 3017330022
Fax Number 3017333461
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Klauka K Debbie
Credentials MBA
Telephone Number 3016654879

NPI Number Detail

NPI Number 1437106846
Provider Enumeration Date 2006-05-30
Last Updated Date 2016-03-22

Provider Mailing Address Detail

Address Po Box 37768
City Baltimore
State Maryland (MD)
Post Code 212973768
Phone Number 3017330022
Fax Number 3017333461

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No A1224
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
21C0001224 CCN

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FAQs about Antietam Urosurgical Center Llc Asc

What is the unique identifier code issued to Antietam Urosurgical Center Llc Asc by the Centers for Medicare & Medicaid Services (CMS)?

The Antietam Urosurgical Center Llc Asc has been assigned the NPI (National Provider Identifier) 1437106846. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Antietam Urosurgical Center Llc Asc is located?

The Antietam Urosurgical Center Llc Asc is situated at the following address: Po Box 37768, Baltimore, MD, 212973768.

What is Antietam Urosurgical Center Llc Asc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Antietam Urosurgical Center Llc Asc is Ambulatory Surgical, and the taxonomy code that categorizes this field of expertise is 261Qa1903X.

On what date did the Antietam Urosurgical Center Llc Asc receive the assignment of its 1437106846 from the Centers for Medicare & Medicaid Services?

The Antietam Urosurgical Center Llc Asc was issued its 1437106846 by the Centers for Medicare & Medicaid Services on 2006-05-30.

As of what date was the information pertaining to Antietam Urosurgical Center Llc Asc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Antietam Urosurgical Center Llc Asc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-03-22.

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