Organization
ALLEGANY SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY DAVIES CHISHOLM M.D. (PRESIDENT)
(301) 724-8847
Entity
Organization
Contact information
Practice address
924 SETON DR, CUMBERLAND, MD 21502-1851
(301) 724-8847
(301) 724-7016
Mailing address
924 SETON DR, CUMBERLAND, MD 21502-1851
(301) 724-8847
(301) 724-7016
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D34362
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204461700
—
MD
Enumeration date
10/11/2006
Last updated
09/28/2012
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