Organization
MEDSTAR ENDOSCOPY CENTER AT LUTHERVILLE, LLC
Active
Organization
MEDSTAR ENDOSCOPY CENTER AT LUTHERVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GILBERT (PRESIDENT-MEDSTAR AMBULATORY)
(410) 772-6726
Entity
Organization
Contact information
Practice address
1300 BELLONA AVE STE A, LUTHERVILLE, MD 21093-5466
(410) 821-1900
Mailing address
1300 BELLONA AVE STE A, LUTHERVILLE, MD 21093-5466
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
261QL0400X
Lithotripsy Clinic/Center
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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