| Organization Name: | FORBES AMBULATORY SURGERY CENTER, L.L.C. |
| NPI Number: | 1053336883 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KWASI DEBRA (DIRECTOR) |
| Mailing Address: | 7501 Forbes Blvd Suite 103 Seabrook |
| State: | MD US |
| Postal Code: | 207062253 |
| Phone Number: | 3018055340 |
| Fax Number: | 3018055341 |
| NPI Enumeration Date: | 07/13/2006 |
| NPI Last Update Date: | 05/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | A1474 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |