Organization
OSLER SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONSO P. ZALDUONDO M.D. (OWNER)
(410) 296-3092
Entity
Organization
Contact information
Practice address
7600 OSLER DRIVE, SUITE 302, TOWSON, MD 21204
(410) 296-3092
(410) 494-6442
Mailing address
7600 OSLER DR, SUITE 302, TOWSON, MD 21204-7735
(410) 296-3092
(410) 494-6442
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207127
MEDICARE
MD
01
—
444260100
MEDICAL ASSISTANCE
MD
01
—
CB4VAP
CAREFIRST
MD
01
—
DR4178
RAILROAD MEDICARE
GA
01
—
X743
CAREFIRST
DC
Enumeration date
10/18/2010
Last updated
09/01/2011
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