MEDICARE: ADVANCED SURGICARE OF MARYLAND P.A

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	174400000X	Specialist

General Provider Information

NPI Number	:	1417143041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED SURGICARE OF MARYLAND P.A

Provider Business Mailing Address
First Line	:	3450 OLD WASHINGTON RD
Second Line	:	SUITE 202
City	:	WALDORF
State	:	MD
Zip	:	20602-3248
Country	:	US
Telephone Number	:	301-645-3590
Fax Number	:	301-705-1941

Provider Business Practice Location Address
First Line	:	3450 OLD WASHINGTON RD
Second Line	:	SUITE 202
City	:	WALDORF
State	:	MD
Zip	:	20602-3248
Country	:	US
Telephone Number	:	301-645-3590
Fax Number	:	301-705-1941

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PRADIP SAHDEV
Credential	:	MD
Telephone Number	:	301-645-3590

Provider Enumeration Date	:	09/18/2007
Last Update Date	:	03/05/2008

Similar Medicare Providers

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Practice Location Address:

3450 OLD WASHINGTON RD , STE 201
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1811970056 — RICHARD EUGENE COOK JR. M.D.
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Practice Location Address:

3450 OLD WASHINGTON RD , SUITE 201
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1427123983 — MR. DAVID EDWARD KANE D.C.
Practice Location Address:

3450 OLD WASHINGTON RD , SUITE 101
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1932377702 — MS. JOYCE JACQUETTA JACKSON NP
Practice Location Address:

3450 OLD WASHINGTON ROAD , SUITE 202
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Practice Phone: 301-645-3590
Practice Fax: 301-705-1941

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