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Contact Information

MARYLAND DIAGNOSTIC AND THERAPEUTIC ENDO CENTER, LLC
621 RIDGELY AVE
SUITE 105
ANNAPOLIS, MD21401-1081
 Phone: 410-224-3636
 Fax: 410-224-6971
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endoscopy

261QE0800X
Indicates primary specialty

NPI Profile & details for MARYLAND DIAGNOSTIC AND THERAPEUTIC ENDO CENTER, LLC

NPI # 1083855092
LBN Legal business name MARYLAND DIAGNOSTIC AND THERAPEUTIC ENDO CENTER, LLC
Authorized official MICHAEL EPSTEIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2009
Last updated 02/19/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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