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Organization
LUTHERVILLE ENDOSCOPY CENTER LLC
Active
Organization
LUTHERVILLE ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SALTZBERG M.D. (MEDICAL DIRECTOR)
(410) 821-1900
Entity
Organization
Contact information
Practice address
1300 BELLONA AVE STE A, LUTHERVILLE, MD 21093-5466
(410) 821-1900
(410) 821-1904
Mailing address
1300 BELLONA AVE STE A, LUTHERVILLE, MD 21093-5466
(410) 821-1900
(410) 821-1904
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1395
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405346000
—
MD
Enumeration date
07/04/2006
Last updated
03/26/2013
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