Organization
ANNAPOLIS SURGERY PAVILION, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA J DIMARINO MSN, RN, CNOR (ADMINISTRATOR)
(410) 935-5194
Entity
Organization
Contact information
Practice address
166 DEFENSE HWY STE 101, ANNAPOLIS, MD 21401-7034
(410) 643-1999
Mailing address
166 DEFENSE HWY STE 101, ANNAPOLIS, MD 21401-7034
(410) 643-1999
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2016
Last updated
08/03/2016
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