Provider Demographics
NPI:1386949246
Name:CAMBRIDGE WOMENS AMBULATORY SURGERY CENTER, L.L.C.
Entity type:Organization
Organization Name:CAMBRIDGE WOMENS AMBULATORY SURGERY CENTER, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALAWODE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-645-8867
Mailing Address - Street 1:3500 OLD WASHINGTON RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-3224
Mailing Address - Country:US
Mailing Address - Phone:301-645-8867
Mailing Address - Fax:301-645-2330
Practice Address - Street 1:3500 OLD WASHINGTON RD
Practice Address - Street 2:SUITE 302
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-3224
Practice Address - Country:US
Practice Address - Phone:301-645-8867
Practice Address - Fax:301-645-2330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical