| Organization Name: | MDP SURGERY CENTER |
| NPI Number: | 1144608514 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BENJAMIN LEE (CEO) |
| Mailing Address: | 216 E Pulaski Hwy 120 Elkton |
| State: | MD US |
| Postal Code: | 219216497 |
| Phone Number: | 4434904000 |
| Fax Number: | 4434842831 |
| NPI Enumeration Date: | 05/18/2015 |
| NPI Last Update Date: | 05/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | D0057974 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |