Organization Name: | ASC DEVELOPMENT COMPANY, LLC |
NPI Number: | 1053560896 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARC LOEV (MEDICAL DIRECTOR) |
Mailing Address: | 510 Upper Chesapeake Dr Suite 415 Bel Air |
State: | MD US |
Postal Code: | 210144328 |
Phone Number: | 4436433000 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2008 |
NPI Last Update Date: | 11/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP3300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Pain |
Taxonomy Definition: |