Provider Demographics
NPI:1114360138
Name:ARUNDEL MILLS SURGERY CENTER, INC.
Entity Type:Organization
Organization Name:ARUNDEL MILLS SURGERY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SALMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHRUF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-590-4313
Mailing Address - Street 1:PO BOX 384
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-0384
Mailing Address - Country:US
Mailing Address - Phone:410-590-4313
Mailing Address - Fax:410-590-4314
Practice Address - Street 1:7550 TEAGUE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1339
Practice Address - Country:US
Practice Address - Phone:410-590-4313
Practice Address - Fax:410-590-4314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA1552261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
341713OtherMEDICARE PTAN