Organization
TAPAS ANESTHESIA SERVICE LLC.
Active
Other names
Tapas Anesthesia Service LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ALBERT PANNONE CRNA (PRESIDENT)
(410) 663-5852
Entity
Organization
Contact information
Practice address
2425 CUB HILL RD, BALTIMORE, MD 21234-1003
(410) 663-5852
Mailing address
2425 CUB HILL RD, BALTIMORE, MD 21234-1003
(410) 663-5852
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R053987
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0K085-TA
CARE FIRST BC/BS OF MD
MD
01
—
OKO-85-TA
CARE FIRST BLUE CHOICE
MD
01
—
OKO85-TA
NCAS
MD
Enumeration date
03/04/2008
Last updated
09/08/2008
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