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Organization
PLAZA AMBULATORY SURGICAL CENTER, INC
Active
Organization
PLAZA AMBULATORY SURGICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KASHAN D.P.M. (OWNER)
(410) 764-7044
Entity
Organization
Contact information
Practice address
6506 REISTERSTOWN RD, BALTIMORE, MD 21215-2304
(410) 764-7044
(410) 764-8637
Mailing address
6506 REISTERSTOWN RD, BALTIMORE, MD 21215-2304
(410) 764-7044
(410) 764-8637
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1175
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0324490
CIGNA
—
01
—
127216
JHHP
—
01
—
5829135
AETNA
—
Enumeration date
06/01/2006
Last updated
08/04/2009
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