| Organization Name: | ASC DEVELOPMENT COMPANY LLC |
| NPI Number: | 1306134838 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARC LOEV (PHYSICIAN/OWNER) |
| Mailing Address: | 8824 Cunningham Dr Suite D Berwyn Heights |
| State: | MD US |
| Postal Code: | 207402338 |
| Phone Number: | 2409650800 |
| Fax Number: | 2402900037 |
| NPI Enumeration Date: | 07/18/2011 |
| NPI Last Update Date: | 10/15/2014 |
| 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: | |