OrganizationActive
Ambulatory Surgery Center of Bethesda, LLC
NPI 1407947112 · Ambulatory Surgical Clinic/Center · North Bethesda, MD
Provider details
- NPI number
- 1407947112
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Forman, Medical Director(301) 984-8600
- License
- A1371 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
11210 Old Georgetown Rd
North Bethesda, MD 20852-3202
Phone: (301) 984-8600
Fax: (301) 984-8601
Approximate (ZIP-level) locationGet directions
Mailing address
11210 Old Georgetown Rd
North Bethesda, MD 20852-3202
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2026-05-04
- Certified
- 2026-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.