Organization
HOLY CROSS ANESTHESIOLOGY ASSOCIATE PA
Active
Parent organization
HOLY CROSS ANESTHESIOLOGY ASSOCIATE PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOLY CROSS ANESTHESIOLOGY ASSOCIATE PA
Authorized official
SARA DEPEW (PRESIDENT)
(347) 731-2133
Entity
Organization
Contact information
Practice address
19851 OBSERVATION DR STE 445, GERMANTOWN, MD 20876-4160
(301) 754-7000
Mailing address
PO BOX 64605, BALTIMORE, MD 21264-4605
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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