Organization
BALTIMORE SURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASSAR KHALIL YOUSSEF M.D. (PHYSICIAN)
(410) 542-1722
Entity
Organization
Contact information
Practice address
2411 W BELVEDERE AVE, STE 302, BALTIMORE, MD 21215-5228
(410) 542-1722
Mailing address
PO BOX 5381, BALTIMORE, MD 21209-0381
(615) 525-1626
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0071504
MD
208600000X
Surgery Physician
D54931
MD
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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