Organization
C BOYD ANESTHESIA SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA LETITIA BOYD CRNA (PRESIDENT)
(410) 799-5231
Entity
Organization
Contact information
Practice address
1838 GREENE TREE RD, SUITE 180, BALTIMORE, MD 21208-6391
(410) 602-7782
Mailing address
8190 TAMAR DR, COLUMBIA, MD 21045-2894
(443) 629-7430
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369331700
—
MD
01
—
68733808
BLUE SHIELD
—
01
—
H9620001
BLUE CHOICE, FEDERAL
—
Enumeration date
03/21/2008
Last updated
03/24/2008
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