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Organization
BALTIMORE ENDOSCOPY ASC LLC
Active
Organization
BALTIMORE ENDOSCOPY ASC LLC
Active
Other names
Gastrointestinal Diagnostic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
700 GEIPE RD STE 220, BALTIMORE, MD 21228-4577
(410) 242-3636
(410) 242-4404
Mailing address
1A BURTON HILLS BLVD # 300L&C, NASHVILLE, TN 37215-6100
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1160
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110027
—
MD
01
—
521911074001
SIERRA MILITARY HEALTHCAR
MD
Enumeration date
02/06/2006
Last updated
08/25/2025
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