Provider Demographics
NPI:1235411091
Name:GUARDIAN SURGICAL ASSISTANTS, LLC.
Entity Type:Organization
Organization Name:GUARDIAN SURGICAL ASSISTANTS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:E
Authorized Official - Last Name:BENALCAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-900-1909
Mailing Address - Street 1:206 S. HAYS ST.
Mailing Address - Street 2:UNIT 201
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014
Mailing Address - Country:US
Mailing Address - Phone:281-324-5660
Mailing Address - Fax:410-420-9641
Practice Address - Street 1:206 S. HAYS ST.
Practice Address - Street 2:UNIT 201
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014
Practice Address - Country:US
Practice Address - Phone:281-324-5660
Practice Address - Fax:410-420-9641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-16
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty