Shady Grove Ambulatory Surgery Center, LLC
Shady Grove Ambulatory Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Gaithersburg, Maryland. Licensed in Maryland. Registered with an NPI since 2006.
- Licensed in
- MD
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
16220 S Frederick Ave Ste 427Gaithersburg, MD 20877-4039
Phone: (301) 948-2995
Fax: (301) 948-6056
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence A1135 (MD) |
|---|
Record details
| NPI number | 1558463257 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ronald Footer — Medical Director · (301) 948-2995 |
| NPI enumerated | September 2, 2006 |
| Last updated in NPPES | August 25, 2009 |
| Mailing address | 16220 S Frederick Ave, Suite 427, Gaithersburg, MD 20877-4039 |
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