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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