Organization Name: | CARROLL FOOTWORKS SURGERY CENTER ,LLC |
NPI Number: | 1124136437 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNETTE JOYCE (DIRECTOR) |
Mailing Address: | 4 Glyndon Dr Suite 2 A Reisterstown |
State: | MD US |
Postal Code: | 211362000 |
Phone Number: | 4107952155 |
Fax Number: | 4107952154 |
NPI Enumeration Date: | 08/27/2006 |
NPI Last Update Date: | 09/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | A1428 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |