Provider Demographics
NPI:1255909842
Name:GREENBELT AMBULATORY SURGERY, LP
Entity type:Organization
Organization Name:GREENBELT AMBULATORY SURGERY, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADAEZE
Authorized Official - Middle Name:
Authorized Official - Last Name:OBIOHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-770-3334
Mailing Address - Street 1:7809 BELLE POINT DR
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3338
Mailing Address - Country:US
Mailing Address - Phone:301-770-3334
Mailing Address - Fax:
Practice Address - Street 1:7809 BELLE POINT DR
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3338
Practice Address - Country:US
Practice Address - Phone:301-770-3334
Practice Address - Fax:301-770-3336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical