College Park Surgery Center, LLC
NPI #1962711614 in Glenn Dale, Maryland
Provider Information
- NPI Number
- 1962711614
- Entity Type
- Organization
- Organization Name
- College Park Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Sep 29, 2010
- Last Updated
- Sep 29, 2010
Practice Location
- Address
- 12200 ANNAPOLIS RD
- Address 2
- SUITE 220
- City
- Glenn Dale
- State
- Maryland
- ZIP Code
- 20769-9182
- Phone
- (301) 699-2292
Authorized Official
- Name
- DR. ALPHA T. BANKS, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (301) 699-2292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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