The Waldorf Endoscopy Asc, Llc

NPI 1003889379 - Clinic/Center - 261QA1903X

NPI Details
NPI 1003889379
Enumeration Date 02/08/2006
Last Updated 12/02/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PHILLIP PHILLIP
Position PRESIDENT
Phone (301) 638-5354
Fax (301) 843-5184
Practice Location
3510 OLD WASHINGTON RD
WALDORF MD, 20602-3233, US
Phone (301) 638-5354
Fax (301) 843-5184
Business Location
1A BURTON HILLS BLVD
ATTN: L&C
NASHVILLE TN, 37215-6103, US
Phone (301) 638-5354
Fax (301) 843-5184
Toxanomy
Taxonomy Code 261QA1903X
License State Maryland
License Number A1062
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According to our database, The Waldorf Endoscopy Asc, Llc NPI is 1003889379, taxonomy code is 261QA1903X and license number is A1062, license state is located at Maryland. The Waldorf Endoscopy Asc, Llc physically located at 3510 Old Washington Rd, Waldorf MD, 20602-3233. NPI Number 1033115704 has the healthcare provider type.

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1003889379 NPI number is provided on an as is basis without warranty of any kind. 1003889379 is maintained by the National Plan & Provider Enumeration System. The contents of The Waldorf Endoscopy Asc, Llc are for informational purposes only.