SUPRIYA JAGANNATH MD LLC

FREDERICK, MD
NPI1053635284
Entity TypeOrganization
Authorized ContactSUPRIYA BANAD JAGANNATH
Owner
410-476-7511
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MD  D0064112)
Enumeration Date2010-03-17
Last Update Date2010-03-17
Business Address
SUPRIYA JAGANNATH MD LLC
9657 ATTERBURY LN
FREDERICK, MD 21704-7400
Phone number: 410-476-7511
Mailing Address
SUPRIYA JAGANNATH MD LLC
9657 ATTERBURY LN
FREDERICK, MD 21704-7400
Phone number: 410-476-7511
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