Healthcare Provider Details

I. General information

NPI: 1942807961
Provider Name (Legal Business Name): VSA SURGERY CENTER OF ABINGDON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2020
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3435 BOX HILL CORPORATE CENTER DR STE H
ABINGDON MD
21009-1204
US

IV. Provider business mailing address

520 UPPER CHESAPEAKE DR STE 306
BEL AIR MD
21014-4375
US

V. Phone/Fax

Practice location:
  • Phone: 855-648-9982
  • Fax: 443-456-3647
Mailing address:
  • Phone: 410-879-2006
  • Fax: 443-787-4302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDRE BIUCKIANS
Title or Position: PARTNER
Credential: MD
Phone: 410-879-2009