NPI | 1679673297 |
---|---|
Doing Business As | FALLSGROVE SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | SIU TING NG-WAGNER Medical Director 301-340-1495 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1435) |
Enumeration Date | 2006-09-24 |
Last Update Date | 2022-08-15 |