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Organization

C BOYD ANESTHESIA SERVICES, PC

Active
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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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