Basic Information
| Provider Information | |||||||||
| NPI: | 1851342430 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BEL AIR AMBULATORY SURGICAL CENTER ,L.L.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2007 ROCK SPRING RD | ||||||||
| Address2: | LOWER LEVEL | ||||||||
| City: | FOREST HILL | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210502620 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4108792474 | ||||||||
| FaxNumber: | 4108798194 | ||||||||
| Practice Location | |||||||||
| Address1: | 2007 ROCK SPRING RD | ||||||||
| Address2: | LOWER LEVEL | ||||||||
| City: | FOREST HILL | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210502620 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4108792474 | ||||||||
| FaxNumber: | 4108798194 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2006 | ||||||||
| LastUpdateDate: | 10/15/2008 | ||||||||
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| AuthorizedOfficialLastName: | ASKEW | ||||||||
| AuthorizedOfficialFirstName: | KAREN | ||||||||
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| AuthorizedOfficialTitleorPosition: | NURSE CASE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4108794879 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | RN | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | A1078 | MD | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
No ID Information.