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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X |
| NPI Number | 1457352361 |
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| LBN Legal business name | PRINCE GEORGE'S AMBULATORY CARE CENTER/ENDOSCOPY SUITES, INC. | ||||||||
| Authorized official | VENKATARAMAN CHANDAR - (DIRECTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 08/02/2005 | ||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||
| Identifiers |
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PRINCE GEORGE'S AMBULATORY CARE CENTER/ENDOSCOPY SUITES, INC.