Organization
MARYLAND DIGESTIVE DISEASE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GEORGIA L GALIE (BUSINESS MANAGER)
(301) 498-5500
Entity
Organization
Contact information
Practice address
4801 DORSEY HALL DR, SUITE 120, ELLICOTT CITY, MD 21042-7766
(410) 730-9363
(410) 730-2084
Mailing address
7350 VAN DUSEN RD, SUITE 250, LAUREL, MD 20707-5263
(301) 498-5500
(301) 498-7346
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0920MA
CAREFIRST BCBS MD
MD
05
—
213681300
—
MD
05
—
213681301
—
MD
01
—
A111
CAREFIRST BCBS DC
DC
Enumeration date
04/07/2006
Last updated
05/27/2008
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