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Organization
ELLICOTT CITY ANESTHESIA ASSOCIATES, LLC
Active
Organization
ELLICOTT CITY ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRIU FARROKH ENGINEER M.D. (MANAGING DIRECTOR)
(410) 206-2180
Entity
Organization
Contact information
Practice address
2850 N RIDGE RD, ELLICOTT CITY, MD 21043-3464
(410) 461-1600
Mailing address
PO BOX 610, FREDERICK, MD 21705-0610
(240) 566-1600
(240) 566-1605
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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