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Organization

MEDSTAR ENDOSCOPY CENTER VIRGINIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ARTUR SIVASLIAN (PRES. MEDSTAR AMBULATORY SERVICES)
(410) 772-6696
Entity
Organization

Contact information

Practice address
6862 ELM ST STE 740, MC LEAN, VA 22101-3862
(571) 867-0712
Mailing address
10980 GRANTCHESTER WAY FL 7, COLUMBIA, MD 21044-6097
(571) 867-0712

Taxonomy

Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary

Other

Enumeration date
05/31/2024
Last updated
05/31/2024
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