Organization
ANNAPOLIS OB/GYN ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LATONICK (ADMINISTRATOR)
(410) 573-9530
Entity
Organization
Contact information
Practice address
2000 MEDICAL PKWY, SUITE 304, ANNAPOLIS, MD 21401-3745
(410) 573-9530
(410) 573-9569
Mailing address
2000 MEDICAL PKWY, SUITE 304, ANNAPOLIS, MD 21401-3745
(410) 573-9530
(410) 573-9569
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913511100
—
MD
Enumeration date
09/16/2006
Last updated
10/19/2010
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