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Organization

MASSACHUSETTS AVENUE SURGICAL CONSULTANTS LLC

Active
Parent organization
MASSACHUSETTS AVENUE CONSULTING SERVICES LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MASSACHUSETTS AVENUE CONSULTING SERVICES LLC
Authorized official
MR. RANDALL GROSS (EXECUTIVE DIRECTOR)
(301) 263-0800
Entity
Organization

Contact information

Practice address
6400 GOLDSBORO RD STE 400, BETHESDA, MD 20817-5846
(301) 263-0800
(301) 263-0820
Mailing address
6400 GOLDSBORO RD STE 400, BETHESDA, MD 20817-5846
(301) 263-0800
(301) 263-0820

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary

Other

Enumeration date
12/04/2012
Last updated
12/04/2012
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