Organization
MIGUEL R GARDEN HERNANDEZ MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL RODOLFO GARDEN HERNANDEZ LSA-C (SURGICAL ASSISTANT CERTIFIED LSA-C)
(786) 487-9951
Entity
Organization
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3773
(786) 487-9951
Mailing address
132 ALVIEW TER, GLEN BURNIE, MD 21060-7452
(786) 487-9951
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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