Organization
ANNE ARUNDEL DIGESTIVE CENTER
Active
Other names
Glen Burnie Endoscopy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIF A MANEJWALA MD (MEDICAL DIRECTOR)
(410) 766-1012
Entity
Organization
Contact information
Practice address
8028 RITCHIE HIGHWAY, SUITE 142, PASADENA, MD 21122
(410) 766-1012
(410) 766-2415
Mailing address
8028 RITCHIE HIGHWAY, SUITE 142, PASADENA, MD 21122
(410) 766-1012
(410) 766-2415
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A1208
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012002-00
—
MD
Enumeration date
09/19/2006
Last updated
11/09/2011
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