Organization
LEVEL ONE SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL JAMES HERTIG CSA (PRESIDENT)
(410) 419-9194
Entity
Organization
Contact information
Practice address
2905 FALLSTAFF RD, APT. 21, BALTIMORE, MD 21209-3275
(410) 419-9194
Mailing address
2905 FALLSTAFF RD, APT. 21, BALTIMORE, MD 21209-3275
(410) 419-9194
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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