| Organization Name: | REISTERSTOWN AMBULATORY SURGICAL CENTER |
| NPI Number: | 1205897691 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARBARA A MATTHEWS (BILLING MANAGER) |
| Mailing Address: | 113 Westminster Rd Suite 104 Reisterstown |
| State: | MD US |
| Postal Code: | 211361026 |
| Phone Number: | 4105264401 |
| Fax Number: | 4105264414 |
| NPI Enumeration Date: | 03/28/2006 |
| NPI Last Update Date: | 02/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | A1335 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |