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Organization
ENDOSEDATION LLC
Active
Organization
ENDOSEDATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL H. BLAIR (CEO)
(240) 491-2344
Entity
Organization
Contact information
Practice address
12200 ANNAPOLIS RD STE 220, GLENN DALE, MD 20769-9182
(240) 491-2344
(301) 699-2293
Mailing address
12200 ANNAPOLIS RD STE 220, GLENN DALE, MD 20769-9182
(240) 491-2344
(301) 699-2293
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
NULL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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