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Organization
HANOVER PARKWAY SURGERY CENTER, LLC
Active
Organization
HANOVER PARKWAY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HADDIS TESFAYOHANNES HAGOS M.D. (PRESIDENT)
(301) 220-2333
Entity
Organization
Contact information
Practice address
7300 HANOVER DRIVE, SUITE 204, GREENBELT, MD 20770
(301) 220-2333
(301) 220-2339
Mailing address
7300 HANOVER DRIVE, SUITE 204, GREENBELT, MD 20770
(301) 220-2333
(301) 220-2339
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
02/23/2009
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