Organization
METRO MARYLAND ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOUSTAFA S AHMED (MD/MEMBER)
(301) 695-7000
Entity
Organization
Contact information
Practice address
165 THOMAS JOHNSON DR, SUITE B/C, FREDERICK, MD 21702-4742
(301) 695-7000
(240) 282-7558
Mailing address
PO BOX 9056, GAITHERSBURG, MD 20898-9056
(301) 695-7000
(240) 282-7558
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/25/2016
Last updated
03/04/2020
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