Organization · NPI-2

33rd Street Surgery Center LLC

Otolaryngology · Baltimore, MD

NPI number1467470930
StatusActive
Last updated in NPPESSep 26, 2025

Details

NPI
1467470930
Entity type
Organization (NPI-2)
Legal business name
33rd Street Surgery Center LLC
Organization subpart
No
Enumeration date
Jul 17, 2006
Certification date
Sep 26, 2025
Last updated
Sep 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X OtolaryngologyD35559MDYes
207Y00000X OtolaryngologyD0057335MD

Practice location

3333 N Calvert St Ste 360
Baltimore, MD 21218-2867

Phone 410-554-4455 · Fax 410-554-2839

Mailing address

3333 N Calvert St Ste 630
Baltimore, MD 21218-2867

Phone 410-554-4455 · Fax 410-554-2839

Authorized official

Annette Marie Martyn
Administrator
8478889000

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