Organization
OPTIMAL ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W KOSSOFF (MD/MEMBER)
(301) 775-7733
Entity
Organization
Contact information
Practice address
70 THOMAS JOHNSON DR STE 120, FREDERICK, MD 21702-4317
(301) 624-5566
Mailing address
PO BOX 1973, FREDERICK, MD 21702-0973
(941) 360-1566
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
01/21/2021
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