Holy Cross Anesthesiology Associate PA
Anesthesiology in Germantown, MD. Organization (NPI-2).
NPI number1104649656
StatusActive
Last updated in NPPESNov 4, 2024
Details
- NPI
- 1104649656
- Entity type
- Organization (NPI-2)
- Legal business name
- Holy Cross Anesthesiology Associate PA
- Organization subpart
- Yes
- Enumeration date
- Nov 4, 2024
- Certification date
- Nov 4, 2024
- Last updated
- Nov 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | – | – |
Practice location
19851 Observation Dr Ste 445Germantown, MD 20876-4160
Phone 301-754-7000
Mailing address
Po Box 64605Baltimore, MD 21264-4605
Authorized official
Sara Depew
President
3477312133
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