Provider Demographics
NPI:1811163652
Name:DRS COELUS & KAPLAN, ASC, LLC
Entity type:Organization
Organization Name:DRS COELUS & KAPLAN, ASC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:COELUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-542-8484
Mailing Address - Street 1:100 WALTER WARD BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009
Mailing Address - Country:US
Mailing Address - Phone:410-638-2600
Mailing Address - Fax:410-638-2638
Practice Address - Street 1:100 WALTER WARD BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009
Practice Address - Country:US
Practice Address - Phone:410-638-2600
Practice Address - Fax:410-638-2638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical