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Organization
BALTIMORE AMBULATORY CENTER FOR ENDOSCOPY
Active
Organization
BALTIMORE AMBULATORY CENTER FOR ENDOSCOPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAHANGIR KHAN M.D. (MEDICAL DIRECTOR)
(410) 574-7776
Entity
Organization
Contact information
Practice address
19 FONTANA LN, SUITE 104, BALTIMORE, MD 21237-3047
(410) 574-7776
(410) 574-9038
Mailing address
19 FONTANA LN, SUITE 104, BALTIMORE, MD 21237-3047
(410) 574-7776
(410) 574-9038
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1159
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136520700
—
MD
Enumeration date
07/04/2006
Last updated
03/17/2016
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