Organization
M.D. SURGICAL ASSIST SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY H. WELLS M.D. (PRESIDENT)
(410) 703-7300
Entity
Organization
Contact information
Practice address
1905 KINGSWOOD CT, ANNAPOLIS, MD 21401-2945
(410) 703-7300
(410) 266-6844
Mailing address
PO BOX 483, MILLERSVILLE, MD 21108-0483
(410) 703-7300
(410) 266-6844
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D33084
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0W03BH
CAREFIRST #
MD
05
—
232991300
—
MD
01
—
2564
BLUECHOICE#
MD
Enumeration date
08/31/2006
Last updated
06/22/2010
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