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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHADY GROVE AMBULATORY SURGERY CENTER,LLC

Active Organization

SHADY GROVE AMBULATORY SURGERY CENTER,LLC is a Ambulatory Surgical Center organization located in GAITHERSBURG, Maryland. NPI 1558463257 is currently active in the NPPES registry. Verify at CMS.

Ambulatory Surgical Center · GAITHERSBURG, MD

Registration Details

NPI Number
1558463257
Provider Type
Organization
NPI Issued
Sep 2, 2006 (19.988429628226 yrs)
Last Updated
Aug 25, 2009
License
A1135 (MD)

Practice Information

Address
16220 S FREDERICK AVE
SUITE 427
GAITHERSBURG, MD, 208774039
Browse MD providers · Browse ZIP 20877
Phone
3019482995
Fax
3019486056
Primary Specialty
Ambulatory Surgical Center
261QA1903X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.