Organization
MARYLAND SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPIRO B ANTONIADES M.D. (PRESIDENT)
(443) 643-2078
Entity
Organization
Contact information
Practice address
615 W MACPHAIL RD, SUITE 210, BEL AIR, MD 21014-4309
(443) 643-2078
(443) 643-2088
Mailing address
104 SAINT DUNSTANS RD, BALTIMORE, MD 21212-3310
(443) 643-2078
(443) 643-2088
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0002581
MD
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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