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NPI Code Detail

MEDICARE: CLEARWAY SURGERY CENTER OF SALISBURY LLC

MEDICARE: CLEARWAY SURGERY CENTER OF SALISBURY LLC
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
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1396329033
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEARWAY SURGERY CENTER OF SALISBURY LLC
Provider Business Mailing Address
First Line : 201 DEFENSE HWY STE 205
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-7096
Country : US
Telephone Number : 855-527-7246
Fax Number : 866-229-5063
Provider Business Practice Location Address
First Line : 6503 DEER POINTE DR STE B
Second Line :
City : SALISBURY
State : MD
Zip : 21804-1674
Country : US
Telephone Number : 855-527-7246
Fax Number : 866-229-5063
Authorized Official
Title or Position : SR. VICE PRESIDENT
Name : BRITNI CULLEN
Credential :
Telephone Number : 443-837-9913
Provider Enumeration Date : 05/10/2021
Last Update Date : 06/02/2021

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Directions to “CLEARWAY SURGERY CENTER OF SALISBURY LLC ” Practice Location

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