Security Ambulatory Surgi Center, LLC
NPI #1396775201 in Catonsville, Maryland
Provider Information
- NPI Number
- 1396775201
- Entity Type
- Organization
- Organization Name
- Security Ambulatory Surgi Center, LLC
- Primary Specialty
- Clinic/Center - Podiatric
- Enumeration Date
- Jul 4, 2006
- Last Updated
- Aug 17, 2018
Practice Location
- Address
- 2 E ROLLING CROSSROADS
- Address 2
- SUITE 55
- City
- Catonsville
- State
- Maryland
- ZIP Code
- 21228-6212
- Phone
- (410) 455-9660
Authorized Official
- Name
- JOHN GALLOWAY ROTH JR., D.P.M.
- Title
- PRESIDENT
- Phone
- (410) 455-9660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
| Clinic/Center - Podiatric — Podiatric |
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