# EAST END SURGICAL ASSISTANTS, PLC

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

## Provider details

- **NPI number:** 1770779340
- **Authorized official:** MAUREEN ELIZABETH MARRA M.D. (OWNER)
- **Authorized official phone:** (502) 551-9174

## Contact information

- **Practice address:** 2069 DOUGLASS BLVD, LOUISVILLE, KY 40205-1927
- **Practice address phone:** (502) 551-9174
- **Mailing address:** PO BOX 5450, LOUISVILLE, KY 40255-0450
- **Mailing address phone:** (502) 551-9174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 29817 | KY | Yes |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 09/21/2007