Organization
MONTGOMERY SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN M TWEEDT D.O. (PHYSICIAN)
(301) 774-7874
Entity
Organization
Contact information
Practice address
18111 PRINCE PHILIP DR, T-12, OLNEY, MD 20832-1513
(301) 774-7874
Mailing address
18111 PRINCE PHILIP DR, T-12, OLNEY, MD 20832-1513
(301) 774-7874
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H0063192
MD
Other
Enumeration date
05/01/2006
Last updated
08/17/2018
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