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Organization

HOLY CROSS ANESTHESIOLOGY ASSOCIATE PA

Active
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Organization

HOLY CROSS ANESTHESIOLOGY ASSOCIATE PA

Active
Parent organization
HOLY CROSS ANESTHESIOLOGY ASSOCIATE PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOLY CROSS ANESTHESIOLOGY ASSOCIATE PA
Authorized official
SARA DEPEW (PRESIDENT)
(347) 731-2133
Entity
Organization

Contact information

Practice address
5530 WISCONSIN AVE, CHEVY CHASE, MD 20815-4404
(301) 652-1231
Mailing address
PO BOX 64605, BALTIMORE, MD 21264-4605

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
11/01/2024
Last updated
11/01/2024
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