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Organization

GREENBELT ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HADDIS HAGOS M.D (PRESIDENT)
(240) 297-9016
Entity
Organization

Contact information

Practice address
7300 HANOVER DR, SUITE 204, GREENBELT, MD 20770-2202
(240) 297-9016
Mailing address
7300 HANOVER DR, SUITE 204, GREENBELT, MD 20770-2202
(240) 297-9016

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0059481
MD

Other

Enumeration date
02/20/2012
Last updated
05/15/2012
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