Organization
PEMBROOKE ANESTHESIA ASSOC., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE JANOWITZ MD (HEAD OF GROUP)
(301) 952-1370
Entity
Organization
Contact information
Practice address
11370 PEMBROOKE SQ, WALDORF, MD 20603-4842
(301) 952-1370
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
10/10/2007
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