Organization
GOETZ ANESTHESIA SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA J GOETZ (PRESIDENT)
(443) 502-5005
Entity
Organization
Contact information
Practice address
505 CONCORD ST UNIT A, HAVRE DE GRACE, MD 21078-3564
(443) 502-5005
Mailing address
505 CONCORD ST UNIT A, HAVRE DE GRACE, MD 21078-3564
(443) 502-5005
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
426CGO
CAREFIRST MD
MD
01
—
N023
CAREFIRST DC
DC
Enumeration date
07/06/2006
Last updated
02/25/2008
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