Organization
HANOVER PARKWAY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HADDIS TESFAYOHANNES HAGOS M.D. (PRESIDENT)
(301) 220-2333
Entity
Organization
Contact information
Practice address
7300 HANOVER DRIVE, SUITE 204, GREENBELT, MD 20770
(301) 220-2333
(301) 220-2339
Mailing address
7300 HANOVER DRIVE, SUITE 204, GREENBELT, MD 20770
(301) 220-2333
(301) 220-2339
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
02/23/2009
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