Organization
MTC ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T. CLOTHIER CRNA (PRESIDENT)
(410) 258-4000
Entity
Organization
Contact information
Practice address
304 HEDGEPOCKET WAY, GLYNDON, MD 21136-1816
(443) 414-3580
Mailing address
304 HEDGEPOCKET WAY, GLYNDON, MD 21136-1816
(443) 414-3580
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
06/23/2020
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