Organization · Type 2 NPI
Shady Grove Children's Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Rockville, MD
NPI number
1891401808
Active
Practice location
15001 Shady Grove Rd Ste 120
Rockville, MD 20850-6354
Mailing address
1220 Caraway Ct Ste 1050
Upper Marlboro, MD 20774-5338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1891401808
Shady Grove Children's Surgery Center, LLC's National Provider Identifier is 1891401808, issued on Jan 24, 2023. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Rockville, MD. The record was last updated on Apr 8, 2024.