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Organization

PLAZA AMBULATORY SURGICAL CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN KASHAN D.P.M. (OWNER)
(410) 764-7044
Entity
Organization

Contact information

Practice address
6506 REISTERSTOWN RD, BALTIMORE, MD 21215-2304
(410) 764-7044
(410) 764-8637
Mailing address
6506 REISTERSTOWN RD, BALTIMORE, MD 21215-2304
(410) 764-7044
(410) 764-8637

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1175
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0324490
CIGNA
01
127216
JHHP
01
5829135
AETNA
Enumeration date
06/01/2006
Last updated
08/04/2009
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