Blue Bay Anesthesia PC
Anesthesiology in Bowie, MD. Organization (NPI-2).
NPI number1497804801
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1497804801
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Bay Anesthesia PC
- Organization subpart
- No
- Enumeration date
- Jan 9, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
14999 Health Center DrBowie, MD 20716
Phone 301-809-2000 · Fax 301-809-2010
Mailing address
11002 Battlement LnFort Washington, MD 20744
Phone 301-292-2173 · Fax 301-292-4154
Authorized official
Jerome Edward Mcqueen
Ceo
3012922173
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