Organization
ANESTHESIA SERVICES OF SOUTHERN MARYLAND PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KRISTINA M COLE (ACCOUNT COORDINATOR)
(240) 427-1716
Entity
Organization
Contact information
Practice address
5801 ALLENTOWN RD, SUITE 502, CAMP SPRINGS, MD 20746
(240) 427-1760
Mailing address
11855 HOLLY LANE, SUITE 101, WALDORF, MD 20601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D12966388
MD
Other
Enumeration date
04/14/2009
Last updated
02/18/2019
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