Provider Demographics
NPI:1114173895
Name:HARBOR SURGERY CENTER LLC
Entity Type:Organization
Organization Name:HARBOR SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:CHIARAMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-877-7737
Mailing Address - Street 1:10403 HOSPITAL DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-3134
Mailing Address - Country:US
Mailing Address - Phone:301-877-7737
Mailing Address - Fax:301-877-7739
Practice Address - Street 1:120 WATERFRONT STREET
Practice Address - Street 2:
Practice Address - City:NATIONAL HARBOR
Practice Address - State:MD
Practice Address - Zip Code:20745
Practice Address - Country:US
Practice Address - Phone:301-877-7737
Practice Address - Fax:301-877-7739
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BELLA PLASTIC SURGERY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-13
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical