Provider Demographics
NPI:1942807961
Name:VSA SURGERY CENTER OF ABINGDON LLC
Entity Type:Organization
Organization Name:VSA SURGERY CENTER OF ABINGDON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:BIUCKIANS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-879-2009
Mailing Address - Street 1:520 UPPER CHESAPEAKE DR STE 306
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4375
Mailing Address - Country:US
Mailing Address - Phone:410-879-2006
Mailing Address - Fax:443-787-4302
Practice Address - Street 1:3435 BOX HILL CORPORATE CENTER DR STE H
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1204
Practice Address - Country:US
Practice Address - Phone:855-648-9982
Practice Address - Fax:443-456-3647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-02
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical