Healthcare Provider Details

I. General information

NPI: 1730197633
Provider Name (Legal Business Name): SURGERY CENTER OF MARYLAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 INTERNATIONAL DRIVE SUITE 300
SILVER SPRING MD
20906
US

IV. Provider business mailing address

3801 INTERNATIONAL DRIVE SUITE 300
SILVER SPRING MD
20906
US

V. Phone/Fax

Practice location:
  • Phone: 301-598-5100
  • Fax: 301-598-2894
Mailing address:
  • Phone: 301-598-5100
  • Fax: 301-598-2894

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: SARAH L CUNEO
Title or Position: ADMINISTRATOR
Credential:
Phone: 301-598-2894