Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

College Park Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1962711614

College Park Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Glenn Dale, Maryland. Licensed in District of Columbia. Registered with an NPI since 2010.

Licensed in
DC
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12200 Annapolis Rd Ste 220
Glenn Dale, MD 20769-9182
Phone: (301) 699-2292
Fax: (301) 699-2293
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence MD18563 (DC)

Record details

NPI number1962711614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alpha Banks — Medical Director · (301) 699-2292
NPI enumeratedSeptember 29, 2010
Last updated in NPPESSeptember 29, 2010
Mailing address7309 Baltimore Ave, Suite 220, College Park, MD 20740-3200

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