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Organization

FORT WASHINGTON ANESTHESIA PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER R SMITH MD (PRESIDENT & CHAIRMAN MD)
(301) 317-0020
Entity
Organization

Contact information

Practice address
1711 LIVINGSTON ROAD, FORT WASHINGTON, MD 20744
(301) 317-0020
(301) 317-0028
Mailing address
PO BOX 639, LAUREL, MD 20725
(301) 317-0020
(301) 317-0028

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
267982
ALLLIANCE
01
6816
BS
DC
01
LP16F0
BS
MD
Enumeration date
01/24/2007
Last updated
08/22/2020
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