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Organization

MARYLAND DIGESTIVE DISEASE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GEORGIA L GALIE (BUSINESS MANAGER)
(301) 498-5500
Entity
Organization

Contact information

Practice address
7350 VAN DUSEN RD, STE 210, LAUREL, MD 20707-5268
(301) 498-5500
(301) 498-7346
Mailing address
7350 VAN DUSEN RD, STE 250, LAUREL, MD 20707-5268
(301) 498-5500
(301) 498-7346

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2516
CAREFIRST BSDC
DC
01
C12782
RAILROAD MEDICARE
MD
01
S553MA
CAREFIRST BSMD
MD
Enumeration date
06/16/2005
Last updated
10/22/2007
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