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NPI Code Detail

MEDICARE: AZAR EYE SURGERY CENTER LLC

MEDICARE: AZAR EYE SURGERY CENTER 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/CenterA1355MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548263619
Entity Type Code : Organization
Provider Name (Legal Business Name) : AZAR EYE SURGERY CENTER LLC
Provider Business Mailing Address
First Line : 31519 WINTERPLACE PKWY
Second Line : STE 3
City : SALISBURY
State : MD
Zip : 21804-1884
Country : US
Telephone Number : 443-260-2828
Fax Number : 443-260-2454
Provider Business Practice Location Address
First Line : 31519 WINTERPLACE PKWY
Second Line : STE 1
City : SALISBURY
State : MD
Zip : 21804-1884
Country : US
Telephone Number : 410-546-2500
Fax Number : 443-260-2454
Authorized Official
Title or Position : PRESIDENT
Name : DR. ALEX AZAR
Credential : M.D.
Telephone Number : 443-260-2828
Provider Enumeration Date : 05/23/2005
Last Update Date : 06/28/2012

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Directions to “AZAR EYE SURGERY CENTER LLC ” Practice Location

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