| Organization Name: | ALLENTOWN SURGERY CENTER, LLC |
| NPI Number: | 1487985727 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAEEQ AHMAD (OWNER) |
| Mailing Address: | 5801 Allentown Rd Suite 502 Camp Springs |
| State: | MD US |
| Postal Code: | 207464563 |
| Phone Number: | 2404271630 |
| Fax Number: | 2404922070 |
| NPI Enumeration Date: | 01/27/2010 |
| NPI Last Update Date: | 03/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | D26021 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |