Organization
MID ATLANTIC SURGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY GUNDERSON (OFFICE MANAGER)
(410) 543-9332
Entity
Organization
Contact information
Practice address
6507 DEER POINTE DRIVE, SALISBURY, MD 21804
(410) 543-9332
(410) 543-9237
Mailing address
6507 DEER POINT DR., SALISBURY, MD 21804
(410) 543-9332
(410) 543-9237
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040551500
—
MD
Enumeration date
09/07/2007
Last updated
03/26/2024
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