Provider Demographics
NPI:1457829103
Name:MARYLAND ANESTHESIA PARTNERS LLC
Entity Type:Organization
Organization Name:MARYLAND ANESTHESIA PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-800-8360
Mailing Address - Street 1:3280 URBANA PIKE STE 104
Mailing Address - Street 2:
Mailing Address - City:IJAMSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21754-9411
Mailing Address - Country:US
Mailing Address - Phone:410-800-8360
Mailing Address - Fax:301-874-6999
Practice Address - Street 1:3280 URBANA PIKE STE 104
Practice Address - Street 2:
Practice Address - City:IJAMSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21754-9411
Practice Address - Country:US
Practice Address - Phone:410-800-8360
Practice Address - Fax:301-874-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty