Organization
BALTIMORE AMBULATORY CENTER FOR ENDOSCOPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAHANGIR KHAN M.D. (MEDICAL DIRECTOR)
(410) 574-7776
Entity
Organization
Contact information
Practice address
19 FONTANA LN, SUITE 104, BALTIMORE, MD 21237-3047
(410) 574-7776
(410) 574-9038
Mailing address
19 FONTANA LN, SUITE 104, BALTIMORE, MD 21237-3047
(410) 574-7776
(410) 574-9038
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1159
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136520700
—
MD
Enumeration date
07/04/2006
Last updated
03/17/2016
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