| Organization Name: | PRIVATE SURGICAL SUITE, LLC |
| NPI Number: | 1073644399 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS G ZORC (MEMBER) |
| Mailing Address: | 5530 Wisconsin Ave Suite 1455 Chevy Chase |
| State: | MD US |
| Postal Code: | 208154404 |
| Phone Number: | 3016568008 |
| Fax Number: | 3016566701 |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 01/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | A1291 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |