Organization
ANNAPOLIS COLON AND RECTAL SURGEONS LLC
Active
Organization
ANNAPOLIS COLON AND RECTAL SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN G. PROSHAN M.D. (OWNER)
(410) 573-1699
Entity
Organization
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 360, ANNAPOLIS, MD 21401-3046
(410) 573-1699
(410) 573-5311
Mailing address
2002 MEDICAL PKWY, SUITE 360, ANNAPOLIS, MD 21401-3046
(410) 573-1699
(410) 573-5311
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
D56357
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103601700
—
MD
01
—
75440001
BSDC
DC
01
—
KCT5
BSMD
MD
Enumeration date
10/31/2007
Last updated
02/23/2015
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