Organization
ELLICOTT CITY ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRIU FARROKH ENGINEER M.D. (MANAGING DIRECTOR)
(410) 206-2180
Entity
Organization
Contact information
Practice address
2850 N RIDGE RD, ELLICOTT CITY, MD 21043-3464
(410) 461-1600
Mailing address
PO BOX 610, FREDERICK, MD 21705-0610
(240) 566-1600
(240) 566-1605
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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