Healthcare Provider Details

I. General information

NPI: 1962788059
Provider Name (Legal Business Name): SURGCENTER OF SILVER SPRING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2011
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8710 CAMERON ST 100
SILVER SPRING MD
20910-3703
US

IV. Provider business mailing address

8710 CAMERON ST 100
SILVER SPRING MD
20910-3703
US

V. Phone/Fax

Practice location:
  • Phone: 301-326-2921
  • Fax:
Mailing address:
  • Phone: 301-326-2921
  • Fax:

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: JONATHAN BAILEY
Title or Position: OFFICER/AUTHORIZED OFFICIAL
Credential:
Phone: 203-609-1168