Landover Ambulatory Surgery, Lp

NPI 1265522478 - Clinic/Center - 261QA1903X

NPI Details
NPI 1265522478
Enumeration Date 10/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ADAEZE I. ADAEZE
Position ADMINISTRATIVE DIRECTOR
Phone (301) 773-3338
Fax (301) 773-3305
Practice Location
1300 MERCANTILE LN
SUITE 190
LARGO MD, 20774-5327, US
Phone (301) 773-3338
Fax (301) 773-3305
Business Location
1300 MERCANTILE LN
SUITE 190
LARGO MD, 20774-5327, US
Phone (301) 773-3338
Fax (301) 773-3305
Toxanomy
Taxonomy Code 261QA1903X
License State Maryland
License Number A1294
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According to our database, Landover Ambulatory Surgery, Lp NPI is 1265522478, taxonomy code is 261QA1903X and license number is A1294, license state is located at Maryland. Landover Ambulatory Surgery, Lp physically located at 1300 Mercantile Ln, Largo MD, 20774-5327. NPI Number 1033115704 has the healthcare provider type.

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1265522478 NPI number is provided on an as is basis without warranty of any kind. 1265522478 is maintained by the National Plan & Provider Enumeration System. The contents of Landover Ambulatory Surgery, Lp are for informational purposes only.