| Organization Name: | SUMMIT AMBULATORY SURGICAL CENTER, LLC |
| NPI Number: | 1003004482 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANFORD J SIEGEL (PRESIDENT) |
| Mailing Address: | 120 Sister Pierre Dr Suite 102 Towson |
| State: | MD US |
| Postal Code: | 212047516 |
| Phone Number: | 4104941402 |
| Fax Number: | 4102968572 |
| NPI Enumeration Date: | 10/10/2007 |
| NPI Last Update Date: | 08/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |