| Arundel Ambulatory Surgery Center, Inc. | |
|
621 Ridgely Ave Suite 401 Annapolis MD 21401-1081 | |
| (410) 224-2811 | |
| (410) 224-6971 |
| Full Name | Arundel Ambulatory Surgery Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 621 Ridgely Ave, Annapolis, Maryland |
| Authorized Official Name and Position | Lee Allan Kleiman (MD) |
| Authorized Official Contact | 4105739191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arundel Ambulatory Surgery Center, Inc. 621 Ridgely Ave Suite 401 Annapolis MD 21401-1081 Ph: (410) 224-2811 | Arundel Ambulatory Surgery Center, Inc. 621 Ridgely Ave Suite 401 Annapolis MD 21401-1081 Ph: (410) 224-2811 |
| NPI Number | 1083701742 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 11/16/2023 |
| Medicare PECOS PAC ID | 7517002801 |
|---|---|
| Medicare Enrollment ID | O20100311000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083701742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | A1067 (Maryland) | Primary |
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