Organization
MEDSTAR HEALTH ANESTHESIA SERVICES E, LLC
Active
Parent organization
MONTGOMERY GENERAL HOSPITAL, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTGOMERY GENERAL HOSPITAL, INC.
Authorized official
MR. ERIC R. WAGNER (PRESIDENT)
(410) 772-6595
Entity
Organization
Contact information
Practice address
18101 PRINCE PHILIP DR, OLNEY, MD 20832-1514
(301) 774-8882
Mailing address
8094 SANDPIPER CIR, SUITE O, BALTIMORE, MD 21236-4907
(410) 933-3016
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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