Anne Arundel Digestive Center
Clinic/Center in Pasadena, MD. Organization (NPI-2).
NPI number1740387257
StatusActive
Last updated in NPPESNov 9, 2011
Details
- NPI
- 1740387257
- Entity type
- Organization (NPI-2)
- Legal business name
- Anne Arundel Digestive Center
- Organization subpart
- No
- Enumeration date
- Sep 19, 2006
- Last updated
- Nov 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | A1208 | MD | Yes |
Other names
- Glen Burnie Endoscopy, LLC (Other Name)
Practice location
8028 Ritchie HighwaySuite 142
Pasadena, MD 21122
Phone 410-766-1012 · Fax 410-766-2415
Mailing address
8028 Ritchie HighwaySuite 142
Pasadena, MD 21122
Phone 410-766-1012 · Fax 410-766-2415
Authorized official
Alif A Manejwala
Medical Director
4107661012
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