Organization
CATOCTIN SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFIANY HOLMES (OFFICE MANAGER)
(240) 453-9182
Entity
Organization
Contact information
Practice address
1475 TANEY AVE, SUITE 100, FREDERICK, MD 21702-4747
(301) 668-2344
Mailing address
11206 BENT CREEK TER, GERMANTOWN, MD 20876-5619
(240) 453-9182
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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