Organization
SHERIDAN ANESTHESIA SERVICES OF MARYLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
827 LINDEN AVE, BALTIMORE, MD 21201-4606
(410) 225-8000
Mailing address
PO BOX 744591, ATLANTA, GA 30374-4591
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405117300
—
MD
01
—
602381600
OWCP
MD
01
—
830A
BCBS
MD
01
—
DB7842
RAILROAD
MD
Enumeration date
04/21/2006
Last updated
05/05/2023
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