Mason Dixon Surgery Center LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Williamsport, MD
NPI 1386011963 · NPPES record last updated Aug 30, 2015
Key facts
- NPI
- 1386011963
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- MASON DIXON SURGERY CENTER LLC
- Practice address
- 10212 Governor Lane Blvd
Williamsport, MD 21795-4086 - Phone
- (301) 733-4200
- Fax
- (301) 223-7121
- NPI assigned
- Aug 30, 2015
- Organization subpart
- No
Authorized official
- Name
- David J Ludwick, MD
- Title
- Owner
- Phone
- (717) 262-9711
National Provider Directory
Locations
10212 Governor Lane Blvd
Williamsport, MD 21795
Phone (240) 670-5530
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
10212 Governor Lane Blvd
Williamsport, MD 21795-4086
Mailing address
10212 Governor Lane Blvd
Williamsport, MD 21795-4086
Phone (301) 733-4200
Other providers in Williamsport, MD
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- Jeri Annette Lee-Pride
- Krista Liller
- Joseph Love
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- Susan N McCarthy
- Jamie Auxt McElwee
- Meagan Marie McNulty
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All providers in Williamsport, MD · Ambulatory Surgical Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.