Organization
SARA S STIVELMAN CRNA, INC.
Active
Other names
JCQ Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
SARA SEIDEL STIVELMAN CRNA (ANESTHESIA PROVIDER)
(410) 219-3836
Entity
Organization
Contact information
Practice address
1414 S SALISBURY BLVD, SALISBURY, MD 21801
(410) 749-1191
Mailing address
1809 W CLEAR LAKE DR, SALISBURY, MD 21804-1969
(410) 219-3836
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
047138
MD
Other
Enumeration date
09/23/2013
Last updated
12/05/2013
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