# MIDGARD ANESTHETICS LLC MATTHEW BELZAK SOLE MBR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306388897
- **Authorized official:** MR. MATTHEW J BELZAK CRNA (SOLE OWNER)
- **Authorized official phone:** (703) 862-5725

## Contact information

- **Practice address:** 29466 PINTAIL DR, SUITE 8, EASTON, MD 21601-9323
- **Practice address phone:** (800) 222-1335
- **Practice address fax:** (410) 819-0712
- **Mailing address:** 1050 CONNECTICUT AVE NW, SUITE 500, WASHINGTON, DC 20036-5303
- **Mailing address phone:** (703) 862-5725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WM0705X | Medical-Surgical Registered Nurse | 0001206149 | DC | Yes |

## Other

- **Enumeration date:** 11/15/2016
- **Last updated:** 11/15/2016