Organization
CARDIAC ANESTHESIA ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA JO DAVIDSON CPA (OFFICE MANAGER)
(410) 337-5337
Entity
Organization
Contact information
Practice address
222 BOSLEY AVE, SUITE C6, TOWSON, MD 21204-4328
(410) 337-5337
(410) 337-5338
Mailing address
222 BOSLEY AVENUE, SUITE C6, TOWSON, MD 21204-4399
(410) 337-5337
(410) 337-5338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463521301
—
MD
01
—
CF4900
PALMETTO RAILROAD MCR
MD
01
—
E670
FEDERAL BLUE SHIELD
MD
Enumeration date
04/03/2007
Last updated
09/07/2010
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