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Contact Information

9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER LLC
9106 PHILADELPHIA RD
SUITE 306
BALTIMORE, MD21237
 Phone: 410-687-2656
 Fax: 410-687-3805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
 

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for 9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER LLC

NPI # 1942485305
LBN Legal business name 9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER LLC
Authorized official GABRIEL MARTINEZ - (OWNER/MD)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2008
Last updated 04/16/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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