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
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 SurgicalAmbulatory Surgical

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