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Organization

MUSGROVE EAR, NOSE & THROAT, LLC, ASC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID ALAN BIANCHI MD (MEDICAL DIRECTOR)
(308) 388-0500
Entity
Organization

Contact information

Practice address
2415 MUSGROVE RD, SUITE 201, SILVER SPRING, MD 20904-5200
(308) 388-0500
Mailing address
2415 MUSGROVE RD, SUITE 201, SILVER SPRING, MD 20904-5200
(308) 388-0500

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1239
MD

Other

Enumeration date
01/26/2007
Last updated
02/01/2008
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