MEDICARE: ROCKLAND SURGERY CENTER, L.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center		DE
2	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1174540850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKLAND SURGERY CENTER, L.P.

Provider Business Mailing Address
First Line	:	2710 CENTERVILLE RD
Second Line	:	SUITE 100
City	:	WILMINGTON
State	:	DE
Zip	:	19808-1652
Country	:	US
Telephone Number	:	302-999-0200
Fax Number	:	302-999-0283

Provider Business Practice Location Address
First Line	:	2710 CENTERVILLE RD
Second Line	:	SUITE 100
City	:	WILMINGTON
State	:	DE
Zip	:	19808-1652
Country	:	US
Telephone Number	:	302-999-0200
Fax Number	:	302-999-0293

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEWART GREGORY SMITH
Credential	:	M.D.
Telephone Number	:	302-993-1300

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	03/14/2024

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