| Organization Name: | THE ASC AT WAUGH CHAPEL |
| NPI Number: | 1386885556 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KELLY QUARTO (MEDICAL ASST) |
| Mailing Address: | 2401 Brandermill Blvd # 340 Gambrills |
| State: | MD US |
| Postal Code: | 210541690 |
| Phone Number: | 4104513206 |
| Fax Number: | 4104513207 |
| NPI Enumeration Date: | 03/17/2009 |
| NPI Last Update Date: | 03/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | PENDING |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |