Healthcare Provider Details

I. General information

NPI: 1114360138
Provider Name (Legal Business Name): ARUNDEL MILLS SURGERY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2013
Last Update Date: 05/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 TEAGUE RD SUITE 105
HANOVER MD
21076-1339
US

IV. Provider business mailing address

PO BOX 384
LINTHICUM MD
21090-0384
US

V. Phone/Fax

Practice location:
  • Phone: 410-590-4313
  • Fax: 410-590-4314
Mailing address:
  • Phone: 410-590-4313
  • Fax: 410-590-4314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberA1552
License Number StateMD

VIII. Authorized Official

Name: DR. SALMAN ASHRUF
Title or Position: DIRECTOR
Credential: M.D.
Phone: 410-590-4313