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Organization
EASTERN SHORE SURGERY CENTER LLC
Active
Organization
EASTERN SHORE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P KNUD HANSEN MD (AUTHORIZED OFFICIAL VICE PRESIDENT)
(410) 822-5552
Entity
Organization
Contact information
Practice address
6 CAULK LN, EASTON, MD 21601-3854
(410) 822-5552
(410) 822-8238
Mailing address
6 CAULK LN, EASTON, MD 21601-3854
(410) 822-5552
(410) 822-8238
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/01/2006
Last updated
08/22/2020
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