CALVERT DIGESTIVE DISEASE ASSOCIATES ENDOSCOPY AND SURGERY CENTER LLC NPI 1699219766

NPI Information

CALVERT DIGESTIVE DISEASE ASSOCIATES, ENDOSCOPY AND SURGERY CENTER LLC is an endoscopy clinic center in Prince Frederick, MD. CALVERT DIGESTIVE DISEASE ASSOCIATES, ENDOSCOPY AND SURGERY CENTER LLC NPI is 1699219766. The provider is registered as an organization entity type.

The provider's business location address is:

985 PRINCE FREDERICK BLVD STE 104
PRINCE FREDERICK, MD
ZIP 20678-490
Phone: (410) 414-5309
Fax: (410) 414-6179

The provider's authorized official is Dolores Yvette Rhodes-height .
The authorized official title is Owner/ceo and has the following contact phone number (410) 535-2005.

The CLIA number assigned to this NPI record is 21D2144898 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2016 and was last updated on 3/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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