# ENDOSEDATION LLC

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

## Provider details

- **NPI number:** 1891286597
- **Authorized official:** MR. MICHAEL H. BLAIR (CEO)
- **Authorized official phone:** (240) 491-2344

## Contact information

- **Practice address:** 12200 ANNAPOLIS RD STE 220, GLENN DALE, MD 20769-9182
- **Practice address phone:** (240) 491-2344
- **Practice address fax:** (301) 699-2293
- **Mailing address:** 12200 ANNAPOLIS RD STE 220, GLENN DALE, MD 20769-9182
- **Mailing address phone:** (240) 491-2344
- **Mailing address fax:** (301) 699-2293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2018
- **Last updated:** 05/29/2018