Organization
CENTRAL ENT CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRBY J SCOTT D.O. (OWNER)
(301) 739-0400
Entity
Organization
Contact information
Practice address
1800 DUAL HWY, SUITE 303, HAGERSTOWN, MD 21740-6602
(301) 739-0400
(301) 739-0402
Mailing address
1800 DUAL HWY, SUITE 303, HAGERSTOWN, MD 21740-6602
(301) 739-0400
(301) 739-0402
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
H0064647
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440106900
—
MD
01
—
5654420
AETNA
MD
Enumeration date
06/22/2011
Last updated
11/02/2011
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