Organization
CORRIDOR ANESTHESIA, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GEORGIA GALIE (BUSINESS MANAGER)
(301) 498-5500
Entity
Organization
Contact information
Practice address
7350 VAN DUSEN RD, SUITE 230, LAUREL, MD 20707-5263
(301) 498-5500
(301) 498-7346
Mailing address
7350 VAN DUSEN RD, SUITE 250, LAUREL, MD 20707-5263
(301) 498-5500
(301) 498-7346
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167CCO
CAREFIRST BSMD
MD
05
—
409316000
—
MD
01
—
DE6588
RAILROAD MEDICARE
MD
01
—
K761
CAREFIRST BSDC
DC
Enumeration date
02/22/2006
Last updated
12/07/2012
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