Organization Name: | CARROLL COUNTY AMBULATORY SURGICAL CENTER, LLC |
NPI Number: | 1366818056 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YASH KUMAR (DIRECTOR) |
Mailing Address: | 1380 Progress Way Suite 114 Eldersburg |
State: | MD US |
Postal Code: | 217846464 |
Phone Number: | 4108482203 |
Fax Number: | 4108482283 |
NPI Enumeration Date: | 08/17/2015 |
NPI Last Update Date: | 08/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |