Organization
SEVERN ANESTHESIA SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL OSUJI MD (AUTHORIZED REPRESENTATIVE)
(410) 787-4000
Entity
Organization
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
11/19/2010
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