Provider Demographics
NPI:1528386497
Name:BELMONT SURGERY CENTER, L.L.C.
Entity Type:Organization
Organization Name:BELMONT SURGERY CENTER, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JULES
Authorized Official - Middle Name:A
Authorized Official - Last Name:FELEDY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:301-654-5666
Mailing Address - Street 1:5530 WISCONSIN AVE
Mailing Address - Street 2:SUITE 818
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4404
Mailing Address - Country:US
Mailing Address - Phone:301-654-5666
Mailing Address - Fax:301-654-5552
Practice Address - Street 1:5530 WISCONSIN AVE
Practice Address - Street 2:SUITE 818
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4404
Practice Address - Country:US
Practice Address - Phone:301-654-5666
Practice Address - Fax:301-654-5552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-17
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA1513261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD225967Medicare PIN