Organization
MEDSTAR HEALTH ANESTHESIA SERVICES B, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC R. WAGNER (PRESIDENT)
(410) 772-6595
Entity
Organization
Contact information
Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-7000
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA ONE, SUITE 701, HUNT VALLEY, MD 21031-1002
(410) 785-0333
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
10/08/2008
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