Organization
33RD STREET SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNETTE MARIE MARTYN (ADMINISTRATOR)
(847) 888-9000
Entity
Organization
Contact information
Practice address
3333 N CALVERT ST STE 360, BALTIMORE, MD 21218-2867
(410) 554-4455
(410) 554-2839
Mailing address
3333 N CALVERT ST STE 630, BALTIMORE, MD 21218-2867
(410) 554-4455
(410) 554-2839
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
D0057335
MD
207Y00000X
Otolaryngology Physician
Primary
D35559
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007456615
AETNA
MD
01
—
1356522
CIGNA
MD
05
—
404565300
—
MD
01
—
7441931
MDIPA/OPTIMUM CHOICE
MD
Enumeration date
07/17/2006
Last updated
09/26/2025
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