Organization
MIDGARD ANESTHETICS LLC MATTHEW BELZAK SOLE MBR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW J BELZAK CRNA (SOLE OWNER)
(703) 862-5725
Entity
Organization
Contact information
Practice address
29466 PINTAIL DR, SUITE 8, EASTON, MD 21601-9323
(800) 222-1335
(410) 819-0712
Mailing address
1050 CONNECTICUT AVE NW, SUITE 500, WASHINGTON, DC 20036-5303
(703) 862-5725
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
0001206149
DC
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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